HomeMy WebLinkAboutPermit Electrical 1997-12-8
The followirq .'
Zoning and'd~oJect nO, r.ubmiH~d h"'l~ t
approv~1 s not requiro epcc' I.,' ",..._ h3 fOl!owina
. ,j C _nd U:!j
Zoning_lct-V
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Date
97/JP,
72 6~':j'nj 9llgnature --n f""-'
1. LOCATION OF INSTALLATION
~? <' JuJ _ P';tI-/A?P"/tS.J
, ' ( r
LEGAL DESCRIPTION
/7f'J~ 27 1''2- "'~~SO
JOB D~PTION /
..iJ~ '!Jif. ;~"t;;; _
, .. , ; .
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
Electrical Contractor
Address
Ci ty
Phone
Supervisor License Number
Expil-ation Date
ELECTRICAL PERMIT APPLICATION
City Job Number 91/~/ a
3. COHI'LETG FEE SCIIEDULE DELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
D. Services or Feeders
Installation, Alterations
or Relocation:
200 amps OL' less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
It ems Cos t
Sum
$ 85.00
$ 15.00
$ 40.00
~ $ 50.00 .5l:IfHJ
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Signature of Supervising Electrician
OwneL's Name m~,t&_/C' (~ D.
Address ~'2~ W, ,1A~.d-V )dJ~.
Ci ty ')P~' Phone tl?( -) 7) J
v~ --
OIlNER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
---t~rs Si~atur/ _ n
IV~ K. ~_~_
~~~~~~-:~--~-,J?ln~~-~~------
RECEIVED BY:. ", .. 4"'.t7~
1-
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liD" abOve
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 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
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
$
$
$
$
.<Q:l p-o
~~
~~/~
,v/ (
40.00
40.00
20.00
36.00