HomeMy WebLinkAboutPermit Electrical 1997-5-19
.
.
" ',,,, .;, ...: f I"HJC'.;o !V~ 1....'\,j'.IJ1{:} ::pc<:mc lenC! L:0,)
ep,:..{(;"li~!.
ZOilinJ
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
..J5;)/) f"o.. If 11 Jtl AI
c~-jt~j 9f"[Y0t03rf)
JOB DESCRIPTION
j (1;.e; i {) U/n. l,uoJ I '5 ;S/l
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor E::S<>I-I11)I1~.
Address J )/0 ()fl.}({)tJf(1 A J2d .
7 .
Phone Lj95- 55'L/ /,
4~s-
Expiration Date 1~
Constr Contr. Number l l(~~C1J
Expiration Date A ~ 'crx'
Ci ty EUJ{!/IL
Supervisor License
Number
Signature of Supervising Electrician
/?,'" - Qtrw~-
Owners Name ~ 1 ^ ~ \~\< nnsco
Address1901 \\j\ too.!r
City,,~O () H+o (I ~hone]Ll0~
~ INSTALttrlON 1; ~l
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DA~~~~---------~J~~~~----------
RECEIPT jf:_ ~' ~S~2V
RECEIVED BY: 't' ,"
v
hl'Y\
3.
City Job Number
ELECTRICAL PERMIT APPLICATION
Qlm~-=)
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
Items Cos t
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting \
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00 ~tlJ
$ 20.00
$ 36.00
~:~~
~'.~