HomeMy WebLinkAboutPermit Electrical 1998-12-8
'f' ,t
111~ I . . . .
zoning, and doe9 i10I require
approval,
Zoolno \...t:>0-
00'8 I'J- -4.
225 FIFTH STREET A~ llI>"o 11'",""
SPRINGFIELD, OREGON~1~'lr
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
~
1. LOCATION OF IN~TALLATIONt7f2.
37]. 7 00...a/.4-5 U
, ,
LEGAL DESCRIPTION
/f?Il2./'JI, /1- 0'130 ~
JOB DESCRIPTION
2- a,1U,..../-J
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
~LECTRICAL PERMIT APPLICATION
City Job Number Cjgllftf r
3. COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Sum
Items Cost
1000 sQ.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
. $ 40.00
2. CONTRACTOR INSTALLATION ONLyB. Services or Feeders
NO?/CC Installation, Alterations
Electrlca~:Contractor or Relocalion:
Ad;~~,~~~~~ SHALL EXPIRE IF THE WORK 200 amps or less $ 50.00
'''~wUr~Dt:NIHI$PERMITISNOT 201 amps to 400 amps $ 60.00
Cilty>MMENCmnR Ie:: A9tN&ene", _ 401 amps to 600 amps - $100.00
ANY1Ron Vi:) ,.,,, _,I NL.urVN , onlaw~~imnp~~~ 1000 amps $130.00
Supervisor" Uf!Nise Number _ATTENTION.Oreg d bYtt@~ll3gWOO1l~lIII?S/vol ts $300.00
folloW rules aauf'te e Nleg'!llIlGet tM!IY $ 40.00
Expiration Date .,").if;,.",;oncenter,T\10S 00\1011.1'1952-001-
:' OAfl952-00~-u01~tlrO-!'em.ll~I~iCes or Feeders
Cons tr Con tr. Number 1~J2" """ may obtain CO~~"ttGla~MI'I8' Alteration or Relocation
v ~~iling t\19 center, (Not~~;t eYltification
Expiration Date . __':lUMoregon~= s' 'OT less $ 40.00
,,~,..t- centeriS~-800-~2 S to 400 amps $ 55.00
Signature of Supervising Electrician Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
'I
.1
I
Ovners Name aVid GIfI.e('S'JIl,4
Address 372. 7 t/OICQ/A tJlL
Ci ty >,114-('7 ?;d/ Phone 7q7- <?Iz. ?-
O\INER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
rlw..t1u;" ~
__~1L~__~:____,r.___l____-------------~
DATE: ;dfHr
RECEIPT #: ' In:! Uk/ /I .
RECEIVED BY: J U/'I""V
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
$ 35.00 35:Pt>
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit I
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
, ,
j..
I
$
2.00
:2 .oi:l
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
37.0D
/. ~ 5
If. , I
"I qA,h