HomeMy WebLinkAboutPermit Electrical 1998-11-30
The fo!"'winq profect b
zo"jn~. jM doe" nOI ~eq.~",m.~iflchas the IoIIowlno
aoproval, .......- land uao
Zonl"" .l ~ ' ELECTRICAL PERMIT APPLICATION
97477 to \~~-r.., '''''1 '
726-376~ ~\ C"i..ty Job Number~/c,I?~
~ FEE SCHEDULE BELOY
1. LOCATION OF ;!:NSTALLATION L
tR ~"1~t, D ornoch S r, . A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION 'REQUEST:
OFFICE: 726-3759
"
LEGAL DESCRIPTION
.n-i1 ~ 2 ?' ? ~, _ ,;5 "'Jt;. -3:::?
JOB DESC~IQN /'/" /'1 0.. iLdV'
~,q."'QCP +ll'llsh tlTT ( A.rJjpA
/ .
Permits are non-transferable and expire
if work is not started within 180 days
of, issuance or if work is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
'j
Electrical Contractor OWY/t/1-
i
.1
I
Address
~.
City
Phone
Supervisnr License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name f{19-1<.K- I/. !(,~h
. 'J'" )CX J 1{J....J'ly.
Address 7.3s=tn ,lit.... ....<:..1 ;:)f,
City~-te/,f PhonJ1fI-7Lf7-27fo
6YNER ~NSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners ~~~
~ ,..
~~~~----lr[f~Z)-'1JP'--------------
RECEIPT #: /F,~)~"'" .
RECEIVED BY: .....1/'/)/1 ilA /'.
.;
It ems
Cost
Sum
$ 85.00
,B.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof. . ' 'v ..;':,s~Jlt.OO
Ea<;:ln'Ell)\I!t1td:CH6Ii1efl6'fW 0" n Utility
MlbqlOtm,.py/W.dtibTg! by the rego h
~elil{catfun>~e"fll!deUOSe rule~ ~re &;}~~9
. 0 R 952-001-0010 throu9" v"R 0 b
SID:Q~% %a!@@!lllIlls;oPiesoltherUleSY
IR~~ ta ~?loon'!M~atEi:Mte\e?hO~e
or Ri ~~t1~Re Oregon Utility Notlhcatlon
num er 0 ris 1_800-332-2344).
200 amps <6E'l't~ess $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to' 1000 amps $130.00
Over 1000 amps/volts S300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Ins tallat-ion. Altera tign: ljl'/.i8\'l!(jl~~a tion
,,\0\\"" 1-If>,\.U~'J.?\~ \I 15\'101
20<?\-\'!!l'ps:?<ttl ]'>e~~,: ,\-liS ?E.?l'-/I\\ ;0.00 .-----'
201, .a~P\s~\tO':C.4'ObUa~~~, . ","l\\~O $C55. 00
Over,lliO! to .600,amps""w - $ 80.00
E,W>.IIVf''' --r7
Over,c600 amps or \1000 vo~ ts see "B" above
v ,., ''iPr.~\W
,.~\" ~\!,n (ll~
Branch Circuits
D.
.'
New. Alteration or Extension Per Panel
-I-
$ 35.00 ~5:-
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5;
-::j.t:;: .... 6-
.t.?-"}
J.o !>'
~7 ,Aot?
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
L