HomeMy WebLinkAboutPermit Electrical 1998-8-7
eNGFIELD ,I. ...." .
The lollowlng project es submitted has the
. and does notroqulre specnlc land usa
zoning,
approval, .
Zoning Lill..
225 FII'TH STREET Date ~- t - ~{b'
SPRINGFIELD, OREGON 97477 .l.uth . ad Signature (\zo /
INSPECTION REQUEST: 726_3'lj~OfIZ rr
OFFICE: 726-3759
30
~JJ(jEr t)loml11~ &--~
I ~(3~~PTIrr)G.I(
. \ . JQB"'pES~.pRWN - J II, ),,{) 1) IVO~ 1000 sq. ft. or less
'-tU.:V l'\(1IH1TS~~A V~. Each additiona1500
'UlL.. ~~. sq. ft or pornon '
Permits are non-transferable andC~pYqy, ~~ thereof
if "ork is not started "ithin 1~'d'4Xi ~~O cS',y~ach Manuf'd Home. or
of issuance or if "ork is' suspej{a~ 'fO'P,s (/1'0 f1n~~ar 'DiJelling
180 days. 'O01 '001:> ~-9S~~ce or Feeder
J-A "I,s % ~I,.c-
20 CONTRACTOR INSTALLATION ONLY ~~~. ~~rV'~s l'/k, Feeders
____ Ct ~ tft'Gi&rl'li'ffJ~o~QAlterations
Electrical Contractor, ). t? rf'''C+rtr ::r",C. or K~ca~~n~-t
Address '1 () L t; \ A / ._1-' ib- JJ.- IX 200 am;;O~r ~ss
~ 201 amps to 400 amps
Ci ty ;- , " C' Phone {, )(7'7770 401 amI's to. 600 amps
/ 601 amps to 1000 amps
Supervisor License Number <;' ~7~ <;' Over 1000 amps/volts
( a/i //.'...../ .- Reconnect Only
Expiration Date Y 1/ .., )('
l
I
I
"-
,
ELECTRICAL PERMIT tPJ~ON
Ci ty Job Number )(.()-1 \~
COMPLETE FEE SCHEDULE BELOV
A.
Ne" Residential-Single or
Multi-Family per d"elling unit.
Service Included:
It ems
Sum
Cost
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Constr Contr. Number I () I-J q;;).. q ,-,q0-~1V Installation, Alteration or Relocation
;, ~ - /VO 0//011- '!to
Expiration Date 7' /~/'Y) ';,,,~~cC//II/e.s2lkbj.jmps' 'or less $ 40.00
~ ' 009.--'l~s'0"c.i~;;R~p. to 400 amps $ 55.00
Signatu e 0 r:SU~v~'sing Electr'dalJ.. ~ Yo 'S<'Oo~e, /C/llq, 600 amps $ 80.00
"lJ."C//It;'g II 'lJC/ 'f%r?; IIlijn~~i-,&r 1000 volts see "B" above
'lJ6". 'lie ~ 061. .0 'ii" OS'& flJ 1'6 OS' Yo
( Ii - r~ 0 0 c.fo"f.9.~e"/~~~~~:t~u,,~/o
O"ners NMe _ \ ~O e"'e,.eO"fi.:"~OI.~'e.so '.tj~.Q .se,/ty
I, rVi, 1\ - - rll '01' "s;;;:""u.fJi1/J;ilfBfTdo'f.?-ic'l'fl;xtension Per
Ad':}de s \( n ~)~ LA 'OO':Ja.1/ltly":~/&JJIJ.'l.t/&.s" /
\1 . I\r~r One ~~rw~ 0,,& 6y $ 35.00
.City .,;'yulJ.!., hone Ea?h A~'!J.ti~ ,
Clrcult or-"ith Servlce
OVNLR INST'~LATION or Feeder Permit ~ $ 2.00
The installation is being made on
property I o"n "hich is not intended
for sale, lease or rent.
Owners Signature:
DATE~------~~-'T~<1r~----~-~~-
RECEIPT 11: C j}, r /,\1', N\. ;'
RECEIVED BY: ~ LlY'\.:' , '
-'
Panel
~,ro
d.OU
Eo
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
50
$ 40.00
$ 40.00
$ 20.00
$ 36.00
cJ ~. ~)(Z
{. <:5 .::;>
~t-J
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL