HomeMy WebLinkAboutPermit Electrical 1997-10-27
.
SpaFIELD
The fOllowing project b
zoning, and doe. not ~eq.~ mltted he. the following
approval. u re specific land UGO
Zoning Ld. Y
97 40/1e JO-H)..frJ
7~ SIgnature. n (YJ
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF IN~TJrL~;:ION
72~ ~~
LEGAL DESCRIPTION r
/~2- I!;}Q... 0. 4. ~4t:n)
. .
JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
~~":__t Contractor "--'z;RdJ?>..J
Address
City
Phone
Supervisor License Number
Expiration Date
2/ 3 7 2-
Expiration Date //)//~
r~
~~..-:
, .
Constr Contr: Number
Signature of
'::x( A~
5'/5
.~
. , .
.'-'..,.
Ovners Name
).
R~~""z..A.
Address
City Phone-2~?.:..4.i6
OVNER INSTALLATION'
The installation is being made on
property I ovn which is not intended
for sale. lease or rent.
Ovner~~ignature:
-.
---------------~-Yi----------------
DATE: /6/2.) 'L/
RECEIPT #:. r ::L7~
RECEIVED BY: A~ .
ELECTRICAL PERHIT APPLICATION
City Job Number
7'lf..z3/
3. COMPLETE l"EE SCHEDULE BELOIl
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items 'Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular. 'Dvelling' 40.00
Service or Feeder $
.B. 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
$ 50.00
S 60.00
$100.00
$130.00
$300.00
S 40.00
C.
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
__ $ 40.00 ~.o-o
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or' Feeder Permit
$ 35.00
$ 2.00
E.
Hiscellaneous'(Serviceifeeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~:
-:J '2.0
.::r- ], ~<J
SUBTOTAL OF ABOVE
57. State Surcharge
I 37. Administrative Fee
TOTAL