HomeMy WebLinkAboutPermit Electrical 1998-4-22
~B D~tTION . _-J.OOO sQ. ft. or less
+S ~1\'4~~ M'.mI(\~\a..U1l..i\U~ach additional 500.
SQ. ft or portion
Permits are non-transferable and expire thereof
if york is not started Vithin 180 days Each Manuf'd Home. or
of issuance or if work is suspended for MOdular'Dvelling
180 days. Service or Feeder
~" .B. Services or Feeders
>>V)} Installation, Alterations
Electrical ContractorSecureCom,lne A 'I)P,'C! 't'~ or Relocation:
'(/~ ""~ ':.
Address 1126 Gateway loop, SUite 122, 0", ;SO", i9~ 200 amps or less $ 50.00
~_~-...~ ~~ V)-UJ 201 amps to 400 amps $ 60.00
City Springfield Phoneg88.".~ ~A.-_ ~ ~)Ol amps to 600 amps $100.00
UO ...~O (/~ <6tll alllps to 1000 amps $130.00
Supervisor License Number 794JlE <?"L O~ e>~~~~~oo amps/volts $300.00
',0... {s> ~ ct Only S 40.00
Expiration Date 10101199 ''9. -1<2 ~ /f<:o
DlC. ~mf~L~)$erVices or Feeders
Constr Contr. Number3-353ClE . ~.p~,l'~fop.Q Alteration or Relocation
Expiration Date 10/01/98 200 ~;~~s S ./00.00
201_l!JIIp~ to ~OO amps. __$ 55.00
Over ./001 to 600 amps $ 80.00
Over 600 amps or 1000 voLts see "a" above
~~~-
Owners Name~j ~.\((..o'
Addres$~~ E. \~~l1..\Jc(\QE:.
ci ty.E l)(.,.. f:{\t- Phone
ouad has the folloWIng
The folloWIng pro]ecl as ulre speclfic land U60
.. I .
.. - . .-
Om
Authorized SIgnature
225 FIFTIi STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. WI14TION OF Ui~ALLATION
lU"b - L LI C\ (Jt:; (\
LEC.hL~ION ~
11n-;') 0\.' rv'o. r6)/.G-'1,
c-
2.
CON'IBACTOR INSTALLATION ONLY
Signature of Supervising Electrician
OVNER INSTALLATION
The installation is being lIIade on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE~-----------~~----~.~~
R.ECEIP'f'"'1: i. \ ( 'c::.r-r \
llECEIVED By: 'C1:.~;:-~ .
u ~ )-V--
.
ELECTRICAL PERKIT A1'PLICATION
Ci ty Job NWllber 0. ~f'r\ 15
3.
COMPLETE FEE SCI1EDULE BELOll
. A.
Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
I tems Cas t
Sum
$ 85.00
$ 15.00
$ 40.00
Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
$ 35.00
$
2.00
E, Miscellaneous (Service/feeder nOt included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm I S 36.00 ~
5. SUBTOTAL OF ABOVE ~
5X'StateSurcharge '_
3% Administrative Fee
TOTAL . ;... ~~