HomeMy WebLinkAboutPermit Electrical 1998-1-27
r'
. .
e 0 owing pi' 88 0
zoning, and does not requIm specIflc land use
approval.
Zoning { Ii. AI"
Dele) ~7-7.:::i.:6
ELECTRICAL PERKIT APPLICATION
City Job Number 0101 ~51
225 FIFTH STREET
SPRINGFIELD, OREGON 9747~t...d---
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
r'iN\
3. COMPLETE FEE SCHEDULE BELOII
1. W~ O[ if~ft~T3awJ
I~~I~
I JOB D~CRIP:I'WN Nl f\ S "'J.W(}
...}I,"\ \;'0 ClIO On! v / CAu
;:rmi ,rJ are non-transferable and expire
if york is not started vi thin l80 days
of' issuance or H votk is susp~d for
180 days. ~ ~".
-1. !/(S'A.'"~
2. CONTRACTOR INSTALLATIOC! ~i C'~4J; .' .B. Serv.ices or Feeders
S19~~ Installation, Alterations
Electrical Contractor(~Iit4)j, :~\'~..;c or Relocation:
~. v';';"Y((
Address P.O. 8<x d.'d'JO( ~04'_,~O~_ e>~-9:r~..'SJ 200 amps or less
. ~ 'oY. ''>z. ~!' amps to 400 amps
City f.<..I;~/-lAl!.., d'q7<lt9-Phone_:;6'1'G~-1~,% <S',o~-$)40'lYemps to 600 amps
, . . eo ~ ilIm~ to lOOO amps
Supervisor License Number 3<b J-'I.$ *~Oov~4-~ amps/volts
j'/1yc;a ~-90"'7"c t Only
Expiration Date U, 1<:) .
C Temporary Services or Feeders
Constr Contr. Number ~;;~/() . Installation, Alteration or Relocation
Expiration Date ~~
Signatuce of Supervising Electrician
/A)d~ .A.~_ ~
Ovners N~'Y\~ I fuJ.^~ D. Branch Circuits
Address l OC{q 1.0 . _ ~\LQ".~
Ci ty ~ ~ Phone'l41 A4ct0
O~ };JTALLATION
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
. A.
Items Cost Sum
\ $ 85.00 !;i
4 $ 15.00 loO
$ 40.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see liB" above
200 amps' 'or less
20l amps to 400 amps
Over 40l to 600 amps
Over 600 amps or 1000
volts
.'
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder 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 \~~_
5% S ta te Surcharge ."]. Ol~
3% Administrative Fee ~. ~
TOTAL I :--'(1) .(gO
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Owners Signature:
DATE~--------\-~~~~~-~-----------
RECEli''!'.: _ _ ,~~~
RECEIVED 'BY: \ ).. \ l \r\. v j
\J ~"';;.J-