Loading...
HomeMy WebLinkAboutPermit Electrical 1998-7-6 . SPl'ELD . ,. ' DEVELOPMENT SERVICES DEPARTMENT O\eelll8llUbm~~'::: 1 Tho,\ol\~J::.enot ~ --'- z.onlnQ. 'PI'r~ r . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ,- t)al8 '" ~ INSPECTION REQUEST: 726-3769 ~ OFFICE: 726-3759 . 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION ~qO ~"r\ l't ...oJ+; , Expiration Date , a~;:P2~ctrician Owners Name~~\ \\ -6fur\J\ r Addr~s ~~<65 lb Cit~O-~fi Phon l1b5Jrf O~ "INSTALLATION The installation is being made on property lawn which is not intended for sale, lease or rent. Owners Signature: / DATE~----------~-~---ll~~~---rJ-- RECEIPT jf:, \~I'r.~ RECEIVED BY: \J\ITT(\l-./.J 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 ELECTRICAL PERKIT APPLICATION Ci ty Job ~umber ~ ~Q.. 4 A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 volts JOB DESCRIPTION . ;Jrf\lTTC\\b, -\\\'ffi~O\\.l~tl-> Permits are non-tr~nsferab~e and ex~e if work is not started within l8~~~ of issuance or if work is su2f~~~~ --l80_days. ' ,. . '-'1!:-~'~ <1l .' ~%;~~ 2. CONTRACTOR INSTALLATION w.~ ~ <u-. B. Services or Feeders 1::'0 i:<) ~~~ Installation, Alterations Electrical Contractor (lJ~S P'~~~~ or Relocation: o {J.._t ,/ . ~ ~?> 'to . Address ---I..!.f'\, ""'-, l' I.,. '&1-> ~ 1;; ~ ~200 amps or less ~o -0 ~ IP.., ~l amps to 400 amps Ci ty Phone..Pi../ -.1.:J.3b ~Q <1l ~ amps to 600 amps ~ ~~~~mps to 1000 amps Supervisor LIcense Number I'" gt:,S '<::>~ ~e01000 amps/volts q..R'~,~ct Only Expiration Date 10 -, -q 8 -r ,. C. Temporary Services or Feeders Constr Contr. Number 32l.j.q Installation, Alteration or Relocation ~-I-q~ D. Branch Circuits Cost Sum $ 85.00 $ 15.00 $ 40.00. ....,.._.. $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 ~D $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightinv $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE L/o . DD 5% State Surcharge 1,00 3% Administrative Fee J. il,n TOTAL 1-1;'1. a.n