HomeMy WebLinkAboutPermit Electrical 1997-5-22 (2)
The following projoct as s~.bm:~IR~~d ~~~Vl'lll'
ZO ling. end does not reqUlro "'--
approval. {} f1
Zonina \J. /
225 FIFTH STREET DoI6:'~? -<1-7
SPRINGFIELD. OREGON 974 77'.I.thorlzod Slgnatu'" t\ rYJ
INSPECTION REQUEST: 726'2j769
OFFICE: 726-3759
r
1. LOCATION OF INSTALLATI9N
,Qoutn Umrayu ~(^",lc:. ba ~~ Wl \ A.
rtryIJ;~ n~?fn.
a:DE PTION .
(/JJ' n-\u-i . 'i\\VfYI. wJo.\\ 61~S ,
" 11..\ ( [l:,c.;n IGin') , "us R::>~ \ centr['
Permits are non-tra~sferable and expire
if york is not star tea vi thin' 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~t A
Address \'2\00/-\ J<.PA'\0t-\ (2D
Ci ty {2.U3e (Ie...
Supervisor License
Phone LI<2,S'SS\1\P
Number L/GtS Silo
Expiration Date /0/07
C.
Constr Contr. Number! (( Ji3C, r:JO/;)S::;O...:::>
Expiration Date ;:y/;;;./Ci?-, {a/S]
S'~".i'i.g "."",i,.
Ovner~ NameRYlPf.<.1 Gr{)".J.f'h
Address ,~OOO c;..Jc^"'6j 6wIl
City Srr;r:.Jt-:,e-ld Phone
OVNER INSTALLATION
,
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE~-----------~:J~7~~~f-~:~~~-~-~
RECEIPT #: ~ , J.'---V\\~'
RECEIVED BY: \~~'1,'\.. v - ,1 \ .
ELE~CAL PERMIT APPLICATI~
Ci ty Job NUlllber (\1D2..l ( )
3.
..
COHPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional SOD
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home. or
Hodular. 'Dvelling
Service or Feeder $ 40.00
0
,D. 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
$ SO.OO o'
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ SS.OO
$ 80.00
see "BII above
Hiscellaneous (Service/feeder not included
-Each installation . ,
Pump or irrigation $ 40.00 -
Sign/Outline Lighting~ $ 40.00 tKl-.
Limited Energy/Res . $ 20.00
Limited Energy/Comm $ 36.00
iR.CP BO~
~A),.v, 4: 1'"
#:!It) ~ A; t)
. \Sla ,10
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3S.00
$ 2.00
E.
5.
SUBTOTAL OF ABOVE
S% State Surcharge
3% Administrative Fee
TOTAL
.'
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