HomeMy WebLinkAboutPermit Electrical 1997-12-8
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225 R~l1(f.B~mET- l>-\li\-\Of\llE.O f\ IS I>-B~CAL PERIIIT APPLICATION
SPRINGFIELD, <9Qr&lioN 97477 E~CE.OO , q
INSPECTION REQUEST: 726-3/b9 r.m^t-^ "I>-'{ '?E.f\IOO, Ci ty Job Number '7/7 / I
OFFICE: 726-3759 p.WI~a()v
3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION "'.
1. '1. '1 L\) D n {'L"", b'V\ cL J- ..Q.I\JU 0' I \Ql., .
~rl'ls3(!t[)I-f~n I .
JOB DESCRJ;PTION
~~Y\\l\.l~O,~.TC'.1 (lo.l~
~rmits ~n~ferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor0,fS 8~~{\tA\l\\,8ll\l!.,
Address p, 0, ~,J. ,421.... .
~.\'J
Cit an,. Phone~3b
Supel'visor L cense Number I bZ be''.
Expiration Date tD-I-q~
Constr Con.tr. Number :\SlLJq
Expiration Date q-I-q~
~;/~v7k:;:dan
- ,,7' D.
Ovners Name!r\ (l1\\~n\\-IfI\~ ()r\.O~
. Address~nn\ Lti\."
Ci ty)~ II !\~ Phone 4-8 I - <1 h.1 D
(\
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DA~E~----T:fjL~tt?-~----------------
RECEI PT #: n .L '" 2.f) ( )
RECEIVED B'y: y(, / Yf tA ....:---
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq, ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps-----
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
m 3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
Nev, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
So,on
1,So
l So
54-, n()