HomeMy WebLinkAboutPermit Electrical 1998-7-9
.~
.
.
Zoninp C (' ) ,E:
n.'~ I HIS PERMIT SHALL E '
~ SlgnatureJJ1l^ AUTHORIZED l.:bIDER :HP/RE IF THE WORK -
. IvUMMEN IS PERMIT I!=: NO
225 FIFTB STREET ..1>'1 CEO OR IS ABANDONED ~tiiFnuCAL l'ERIUT !l'PLICATION
SPRINGFIELD, oREGON 974'1'1 Y 180 DAY PE FOR t::I'
INSl'BCTION REQUEST: 726-3769 RIOD. City Job NU.Il1ber -, fa ~L/ to
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
3~4':> (jAf~U IAlJ c;q-: . A.
LEGAL DESCRIPTION
UJ-e5lf!!2)J ~IL 1f.id, no~ 1.,~U)OOlbl
JOB DESCRII.'TION
trrlA. / AJD L t~TI/..)5 UpqPA~.E.-
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.
CONTR.ACTOR INSTALLATION ONLY
Ele~t~i~al ContractorJL~ ~
Address '2e>2--< l(i'l"'- Ally N. f
Ci ty "B:t 1'1: LJu.f. ,W a1 Phone q2"l- (. D~C5o~
, '
Supervisor License Number 39c"6 'So
Expiration Date {o/tlr8
82074
ConstL Contr, Number
Expiration Date 2/z.s-1 q<f
'i~ ~.;. El...,i""
o\lller~ Name l:0eAllifi\.. ~, D.
Address-bJl1 ('kWh 4fu. ~
City:lJf./'~ ,Phone 73t.f -eJfS?{
OVNER INSTJ.l.(fioN
The installation is being made on
property I own which is not intended
for sale, lea$e or ~ent.
Owners Signature:
-------------------~------------------
DATE: 'l-q JJ 1>
RECEIPT *: ?,f)7:J.t1l '
RECEIVED BY: </<0 ~
3. 'COKPLETE PEE SCHEDULE BELO~
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. o~
Hodular"Dwelling
Service or Feeder
$ 85.00
$ 15.00
,$ 40.00
~
,D.
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
Reconn""ct Only
$ 50.00
,$ 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 vo~ts
$ 40_00
$ 55.00
$ 80.00
see "Bn above
Branch Circuits
-'
New, Alteration or Extension Per Panel
-L-
$ 35.00
~
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit --1-- $
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigatioo $ 40.00
Sign/Outline Lighting $ 40.00
Limited EnergyiRes ----- $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABovE <l, 7 dJ
5% Stat.. Surcharge -~ I", ~'5
3% Administrative Fee I ' I '7
TotAL ..JIfl. n"?
100~
_4."~
lINVlI N113l.S3.\l
""'.. ..-...
--
S~96 ttL ItS YVd LI:60 86/~0/LO
-~. -~_._----""_..
;-