HomeMy WebLinkAboutPermit Electrical 1997-9-30
.
SI-r.FIELD
The foilowing projoct as su.bmittod.~as thQ following
zoning. and does not roqUfro specifiC 13nd utO
approval.
zon;ng-LA-r
225 FIFTH STREET D"te G -l..,{\~ ll:-
SPRINGFIELD. OREGON 974/}" "'\ ~ ~
INSPECTION REQUEST: Au?I!ll~",a\ur.--LL fy'i ~ .;i ty Job Number C, 7 I:J.~ I
OFFICE: 726-3759 ' ....~ ~ ' ,
- ~ ~ ~~PLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION {f ~~ ~
(P0'1 Iu i=~... \/:o.LU ,7$ ~ ~~ Nev Residential-Single or
:;;y' ....~ ~ Multi-Family per dvelling uni t.
LEGAL DESCRIPTION . 4''f' Q4t ~'f', Service Included: '
----LID 2,"2. 7"..... ,..,.......k~ t<.. ~. ~ ro. Items
,-- ~-~,~- ~ ~
JOB DESCRIPTION .$ q,4f # ~O Q..~
~&-JlI..r" #' ~f5 #' ~
,;)~~ ~ .
Permits are non-transferabl~ ~~lre
if vork is not started vi thin ~~ays
of issuance or if vork is suspen~ed for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contractor~~,~"';,--
Address...:l;~ I t:J s.;-.""l~ y -
Ci ty .j',...............1,., Ir'l '-
cMne bfb'l'l - If-llf
Supervisor License Number
Expiration Date
ELECTRICAL PElUlIT APPLICATION
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular, "Dvelling'
Service or Feeder
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name I:>u..00.""-L -KY\.I&j l-j- S
Address '3 lo .:>,., 4; ~ Cr.LJt.-
Ci ty ~p f i ^1.H d cA Phone 7),(P ::".J.'1 (PO
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
~~~;~-------------
DATE: q_ ~ -<=1 7
RECEIPT 11: ;J..., 'S l./-'<:;
RECEIVED BY: ~
-
200 amps"or less -1--- $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100u voLts see "B"
D.
Branch Circuits
above
.'
Nev. Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith'Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
40. 0 0
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