HomeMy WebLinkAboutPermit Electrical 1997-5-7
, I'. IUllU......'ny prOjBC[ as suommecr t':-lS th~ t-;;;O\
lOnli1g. end does not require Stx :i:rc l.!ii':! L::.J
approval.
Zonina 1...,f').jJ)
Dote 5-1- '11-
,
225 FIFTH STREET
. SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
9747tulllorizoo Signature
726-3769
, , 3.
1. LOCATION OF IN,STALr.,t.TION ,
. /3& (9.~-ei/o/e Or, fon1,tL-/?-d/' A.
LEGAL DESwrrIQ.tj..
1'"1t1'?Q..~ .:')"':) uc.."\ro
, , JOB DES~IO~
CAqnjl(..ArV 2?'~d; -.;2LJO .4h7t:J 5e#"v'/c.-<- .
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. .
, ,
CONTRACTOR INSTALLATION ONLY
Contractor
Address
City ,
~
Phone
Supe~visor
Expiration Date
Constr Contr.
~
Date
of Supervising Elect~
Owners N{lme~{t'O \\NJ'f:\,fI.
Address_ \~~O ~ef\\t).\e, \').r.
Ci ty ~rj.: Phone ~ 1. ~ \.QG
OVNER INSTALLATI.ON
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
iA(fft1~---~~~-~:r=r--~~~
RECEIPT 11: I . f\ c::_\ k-...I)
RECEIVED BY: \..::i \J \ r\. " n--..-V-J
l I" .,J-v:.--,
,,'
"
(Jd)
, ELECTRICAL PERMIT APPLICATIOAJ
. City Job Numbe]' 0.1 Dll! \
COMPLETE FEE SCHEDULE BELOll
New Residential-Single or
Multi-Family per dwelling
Service' Included:
unit.
Cost Sum
$ 85.00
$ 15.00
$ 40,00
Items
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
. Reconnec tOnly
,/
$ 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 volts
$ 40,00
$ 55.00
$ 80,00
see "B" above
D.
Branch Circuits'
.'
New, Al tera tion ,or Extension 'Per 'Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35,00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation'
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included j
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$ 36,00
,e::{\cJ]
-1J.~n
1.:"irL
~~ I:,r 7'
40.00
40,00
20,00