HomeMy WebLinkAboutPermit Electrical 1998-6-22
.
.
SPRINGFIELD
approval
~~~\~(L(
081 NOTICE:
Authorlz~~nature f\ ~I-II~ PFRMIT SHALL EXPIRE IF THE WORK .
225 FIFTH ET - , ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747 UTHORIZED UNDER THIS PERMIT IS'NUr ... . (\'()T\t:(.I~
INSPECTION REQUEST: 726-c8~AAENCED OR IS ABANDONED FO~ity Job Number '-'\ N J~'Y
OFFICE: 726-3759' ' ,
- ANY 180DAVPERIOO, 3. COMPLETE FEE SCHEDULE BELOV
1. ~{~BF ~'t~~1~ ,A.
\ LEGAL DESqu;PTIQ.!/_ r-.I"'\
I\n~\~ [~'L..LI
~ ~OB {f~~{X~(\CCJ
Permits' are non-transferable 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
Electrical contracto--;t5;(('S 2:/"J.
Address =] r 7 () CA.),..T / I ~
City
Phone
Supervisor License Number 9 tftJ S
Expiration Date 10 ~ 9 q -
Cons t r Con t r. Number .;). / '1 S" I
Expiration Date (j- ()- f --- 99
S~~f Sup ising Electrician
Ovners Name~ U U~'"
'ddtt~~ ~ !':lory
Cit . ('i~)J(iPhone l'\lR1~
o INJr~LATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners..,~~~~
0/> r:/
DATE:_ ----:.-(4 ;f?:J-/~'i?
RECEIPT 11: ' tf--io ~ ,---.11
RECEIVED BY: ;/._ ~
Nev,Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home,or
Modular, 'Dvelling'
Service or Feeder
,B.
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 ampslvolts
Reconnect Only
Items
Cost
Sum
/
%("'
$ 85.00
2--
'?D
$ 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
D.
200 amps' 'or less !
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00 !iJ.:!l.."l
$ 55.00
$ 80.00
see "B" above
o'
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included)
-Each installation -
Pump or irrigation $ 40.00
SignlOutline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited, Energy/Comm $ 36.00
!SS;OiJ
'"l...Zl:-
q:rr
1[, -:J. 'I'
One Circili t
Each Additional
Circuit or vith Service
or' Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 35.00
$ 2.00