HomeMy WebLinkAboutPermit Electrical 1997-11-17
Zonino ~C
Dl!I1.~
2i~hrtP<t~lgS~ELfi Y'Y\
SPRINGFIELD, 'OREGON 97477
, INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
~O\\Ct." :I S\-l(>.\'\' E.'/.?If\E. ~~~\i \5 ~Oi
1\-\151'E.f\WI\ . DE.f\ i\-llS ~ ~,\I'n rOf\
. . i\-IOf\\leD \l~ 5 (>.B(>.~E'fRICAL PERMIT APPLICATION
p,U CeD o? \ " '1 .. , (
C()\-II\-IIel'l ~ ?ef\IOD. City Job Numbe 1 J LP y 1
:-(\eoO~' '
(>.1'1 3. COMPLETE FEE SCHEDULE BELO\I
1. LOCATION OF INSTALLATION
""3.\4A ('<;;A.~f'\I"-(" ~. A. Ne\ol Residential-'Single or
,. Mul t i-Family per d\olelling uni t.
LEGAL DES~T~~ 1'7' 0' 3' ') 1..D31C:;(;f>ervice 'Included:
U.S ~ ~V'.- . t:Io, , ' Items Cos t Sum
JOB DESCRIPTION
FII2E-~UP~
Permits are non-transferable and expire
if \olork is no~ ~tarted \olithin 180 days
of issuance' or if work is suspended for
180 days.
2.' CONTRACTOR INSTALLATION ONLY
. ,NAT101JAri-A/ZCE..
Electrical Contractorf=7~ ~~~
Address2~1I1..t/. c:;;TH. &.i=-,
,Ci ty ~Uls-_ Phone L{'6&>-SS{Q&
Supervisor License Number C::::ID I<=t:. \.
ExpirationDate 10-1-0..01,
Constr Contro Number 1fJ?:'$(p
Expiration Date
'S-qg
O\INER INSTALLATION
The installation' is being ma'de on
property I O\oln \olhich is not intended
for sale, lease or rent.
Owners Signature:
----------t/~~---------~------
DATE: II "
RECEIPT 1I:' f{J'"
RECEIVED BY: . .'rl VL---
1000 sq. ft. or less
Each additional '500
. sq..ft or portion
thereof
Each Manuf'd Home. or
Modular 'D\olelling
Service or Feeder
,B.
Services or Feeders
Installation; Alterations
'or Relocation:
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60,00
$100.00
$130.00
$300,00
$ 40.00
C.
T~mporary Services, or Feeders
Installation; Alteration or Relocation
5.
SUBTOTAL OF ABOVE.
5% State Surcharge
3% Administrative F.ee '
TOTAL
o
Signature ot Supervising Electrician
~ ~~L-.' "
L L:)-::;'.. D. Branch Circui ts
O\olners Namel/.C; ~~ICZ.
. Ne\ol, Alteration or Extension Per Panel
Address-';:LI"30\ ~"\l'\ A~ S_ FEt:€i?PLbJPh/. '
. /.. .One Circui t
Ci ty.lJ,..lAsH Phon<J.OZr;;"S.)B74.:7zcr I Each Addi tional
Circuit, or \olith Service
. or Feeder Permi t
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
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or, 1000
volts
$ 40,00
$ 55.00
$ 80.00
see "B" above
"
$ 35.00
$
2,00
not included)
E.' Miscellaneous (Service/feeder
-Each installation
Pump. or irrigation
Sign/Outline Lighting
, . Limited' Energy/Res,
Limited.Energy/Comm ~
$ 40.00
. $ 40.00
$ 20.00, _' >,
$ 36.00 ':9rUU
~b,D,Q,
I. '6 it'-
~~,_.~~