Loading...
HomeMy WebLinkAboutPermit Electrical 1997-1-15 ~~'~O'P. ~u..u Ui1V" ,,,V "VOlt , I, " , .',.. /' I I i i . '.": .., , I::Jrru vt..t. :U:.". . 'l!:jVV6 Zoning t(' / 225 FIFTH STREBT J~:jS ~tn SPRINGFIEUl, OREGON 97477 D<\:,,_- INSPECTION MQUE'ST: 726-3769'ctr,o'i,oo'Signaturo rJ /V\ OFFICE: 726-3759 1. LOCAT~ OF INSTALLATION '~:;::!. (SalIIS/(t<>-i,.') . / -<,4JDV2 I n0 , , ~B DESCR,tPTION 'AJ".'I. .J G ' IJtraJeX ,F",,\ UJ/'Iet!i'c' "qf 'iJlJf#UA/6 mll-U1//1/e:-. , Jt1 Perm ts are non-transferable and expire if 1I0rk is not started'vithin 180 days of issuance or if'lIork is suspen~ed for 180 days. K 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractort.~,1.5~6~~~AV~ Addressbf tl)ar "4>" <;;ne.... Ci ty '5?R IIv'Gne-t-1J Phone 71/- 7- a~ J , - Supervisor License Number /1735 EXPi:ation Date /0///11 Constr Contr. Number t)t?i?91 Expiration Date Id/IJ:/r17-- Si~a }Ure of Supervi~ing.;' ~ec trieian ~~ / ~~.. o:ne~~ame f!7@fcKU ~OUI#<- Address .5OtJO Glt-n::w1H/ City S~f-~ , Phone' ELECTRICAL PERHIT APPLICATION Cit" Job'NUlllber q 70/3 c.( 3. COMPLETE FEE SCHEDULE BELOV Nev Residential-Single or . Multi-Femi1y per dvelling unit. Service Includedl ' Items Cost Sum 1000 sq.ft..or less ,$ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Kanuf'd'Home or Modular Dwelling Service or Feeder $ 40.00 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 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation OVNER INSTALLATION The installation is being made on property I Olin vhich is not intended for sale. lease or tent. . Ovners Signature: ---------------71~--------------------- DATE: 1-/<>"'/7 . . RECEIPT 1I: "'L-'1;z. 1"1 RECEIVED BY: /I~ vL--- 200 amps or less - $ 40:00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 100v VO.Lts see "B" aoove D. Branch Circuits Nell, Alteration or Extension Per Panel $ 35.00 35 &0 One Circuit Each Addi tionil Circui t or vi th Service/ or Feeder Permit / . '},~O $ 2.00 17) Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm _____ E. 0; ~. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL " ....,..-..~.- ;. $ 40.00 $ 40.00 $ 20.00 $ 36.00 31tJO / ,,~,c::; (, i / .-1q, q /_