HomeMy WebLinkAboutPermit Electrical 1997-10-21
.
. :~~j~OIlOWjng projn...t ~$ :otlbmittad
appr g, 0, nd doe" .M requlro .~.has,'ha followIng
OVa. _IIIC and U:o
Zoning Uv
225 FIFTH STREET D".lO/J,! 1c,"'1
SPRINGFIELD, OREGON 97417 ~ ""'T"
INSPECTION REQUEST: 726'1;!.3769ld Signature n Y'\
OFFICE: 726-3759
Expiration Date
Signature of Supervising Electrician
~ -J:.---;;HTHfMI fUW!ls
Owners Name' ~iM LV
Address Dt \ rOl()n (dO 0 /
City .~~~ Phone\lddJ'cl:&Q.
O~ ~STALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Ovner~~signature:
-,
DATE~--------lV 'f1./-l{' I "^",,cl;)
RECEIPT I: ~' ':r ,'A. \ \v
RECEIVED BY: I\li. ~.J"
. A.
ELECTRICAL PERMIT APPUCATION
Ci t~ Job NWDb~r ~1fl
COMPLETE FEE SCHEDULE BELO\!
3.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
$ 85.00
$ 15.00
S 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
~
1. LO~~~f <t'()f~~~T~(-
LEGAL DE~CRIP1;U>N
It"")()M~. fL () 1;:)01
h,JOa DES~,fTION 1000 sq.ft. or less
";J.\.ru\~ l'Il\~..I"t)Q/ Each additional 500
\ sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular. 'Dwelling'
180 days., Nor/a ~ervice or Feeder,
2. CONTRACTOR INSTALLATION ONLY THIEJlpEP~ervices or Feeders
n . \. -\ ,.~~ '111.t1r~lation. Alterations
Electrical Contractor'Y\')L\'~C. Q."'-tjAt(jJ)RIZa5l]l~b~ltft:
,() n. I),.....U -\........i. 'MMEM 'NDER 1". . IFTHE
Address \",,-, 0 ~ \ I'\.e ..u W.e... ANvtSQ C~~,l/IR~Hl>'rP!/~g1 WORk \
City ~J.l~Mf)~ Phone, &9/3-&A:J./ DAYm,:;,~\~?/~=~r
----iJ '. 601 amps to 1000-amps
Supervisor License Number c)'1IQ-f] Over 1000 amps/volts
J I. Reconnec t Only
Expiration Date 10m! /98
I I
Constr Contr. Number,;;;o-119(i,
IO/6~/q8
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'o-r less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Miscellaneous (Serviceifeeder not included)
-Each installation
Pump or irrigation' $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~n.OQ
57. State Surcharge d!.~
37. Administrative Fee I . ":)0
TOTAL , '-i+ fl/,' }
,One Circui t
Each Additional
Circuit or with Service
or' Feeder Permit