HomeMy WebLinkAboutPermit Electrical 1997-6-4
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;-:,)r)!l1g, and does not requIre spoci;-ic !rMlO us.!
approval.
Zoning C G
D:rte (p-LJ. -'17
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFFICE: 726-3759
13.' LOCATI51N qF INSTALLATION
:Ji){) (JJ6-iU<..YU..1
iJh-.
Authorized Signatura
97477
726-3769
,
LEGAL DESCRI~ION
/7 (YO)-..)/) (')^-::) O{)
,JOB DE::jCRIPTION
; fl-IU: ; I/wn. liJrL/ I S 1.gLJ
Permits are non-transferable and expire
if york is, not started vi thin' lBO days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor,F<;i/} f:rl c:. .
Address /;;1 () (Ja.lf111r )u!!_d. '
Ci ty Pi If<./J f _ Phone. 4R.L)-~<)l/ ("
Supervisor License Number Lj 3' ")
Expiration Date / tJ- 9 q
Constr Contr. Number / IIJ 'i 6
Expiration Date ;) -,:}-qF
Signature of Supervising Electrician
IZ/I~ ~ #l{SJ
Ovners Namef.,'/'a- t:_L17r'j(lf)
Address!o(J/ ()J//IJ/\ 5-; .
Ci tY7-fn '!fit IAJIt PhonrdfJiol) L/d' 7 j;L/
OVNER INSTALLATION
,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----------------\()~~~----~---
RECEIPT #: .J. " .'J\ :JV'~)
RECEIVED BY: \.J\~y\ltv...)..;
ELECTRICAL PElUlIT ^"PUCATION ~
City Job Number ~ '\ f)~~0
3.
COHP.LETE FEE SCHEDULE BELOV
II.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Sum
Items Cos t
1000 sq.ft; or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodulal' 'Dwelling
Service or Feeder
n.
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
S B5.00
S 15.00
S 40.00
.'
$ 50.00 .'
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
S 40.00
S 55.00
S 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting--L-- S 40.00 ~,U2
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
L/ (). {}()
rl.IJU
J'.d-U
:5 ,). u
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 35.00
.'
S 2.00
. .