HomeMy WebLinkAboutPermit Electrical 1998-6-24
.1.
, . ,
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SpAFIELO .
The loll owing projoct as ,.ubm~lod has tho lollowing
zoning, and doee not require specllIc land uae
approval.
Zoning c:. ~
974rJih (_?4-y'~
72kti{lr&~ SIgnaIure f\"^-.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
ELECTRICAL PERM~ APPLICATION
City Job NumberU{ %07LtI1
I
3. COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION
.~\4R l>-akLUr,,--\ l.br:O .~. ev Residential-Single or
u.1'l~O 11 lti-Family per dvelling unit.
LE~~ DESCRIPTION ('1 . () rvice Included:
l.A..SP:)- Oa..-le..~ 1 , -c:nXJL Items Cost Sum
JOB DESC,lUPTION .
V 0 i eel do...fu CahCv,o.
~
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLy-:n-85iOIlB.
Electrical Contrac torCJo<:V"V'2j G.:f':) f:.l~ G
Address Po Bo>c \2Wlo'B
Ci ty ~em Cnct:A Phon{s:::;i,) ~Cj -1(00"1
Supervisor License Number 1t>7"7 .J
'AlOTICE' C. Temporary Services or Feeders
Cl'lol.o U . Installation, Alteration or Relocation
THIS PERMIT SHALL EXPIRE IF THE WORK
';UTIIORIZED UNDEf~g~I~~~~~ 1~~~Tamps
Signature of Supervising Elect~eMtJjENCED OR IS~,~NOONE[H)~O amps
~ CJ UU ~NV 180 DAY PERICB~er 600 amps or 1000 vol ts see "B" abOVE:
,/ ~. r h . D. Branch Circui ts "
Ovners Name UnL.--\ecl l'\1z:L-It>.S R,s-t- u...
Addre s 3\4~ ~A-ifu
Expiration Date
Constr Contr, Number
Expiration Date
City
Phone
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Ovners Signature:
~~TE~------~~~~lf,~--------------
RECEIPT If: ..J . . ""'?1crJ)]
RECEIVED BY: G\C.Yy... 1
1000 sq.ft.' or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
$ 40.00
$ 55.00
$ 80.00
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$
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 3J..,.07)-
5. SUBTOTAL OF ABOVE -:5Co.6()
5% State Surcharge l. 'i'.>D
3% Administrative Fee 1.00
TOTAL 3\'\, 'i3~