HomeMy WebLinkAboutPermit Electrical 1997-5-29
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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1. LQ\(ATIO~OF INST'll1LATION,1
,)~'6' li-\Nll...l\.,~k .pl. A.
. ~GAL DESCRIPTION .
/7 ()~ '7,'-j / ~ /(,.:).60 .
~OB DE,SC~TION ,( 0 ^ (\\
L, '1'(' lLn "v-,( ~ ~~)
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor myEk1'f'k~~1~
Address 3771'5 PftV'S:::>~5 Qo\( Rd .
City ;)1) +{ c\ Phone? ij.q ( 3 b G '
Supervisor Licensv;myr .3 ~ J.. :=5 S
Expiration Date I I 4?
Constr Contro NumberJn - 3 3) L
Expiration Date i/J91
Si'P:O:.:J)r~gl"
O~ners Name;) tt-Y' A:- {'(\()..J\ ~\
Address-j~::/Y 0 ~ I' -k.- f?L
Ci ty:r-P ~ Phone 74/- (.at5
OYNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Ovners Signature:
------~---------------------_.._-------
DATE: J - ;:l'i - '77
RECEIPT 11: (.B.) '1& i
RECEIVED BY: r7. tfYIa.{.k~
ELECTRICAL PERMIT APPLICATION
"'-"-City Job Number Q703 Lf &
1
3. COMPLETE FEE SCHEDULE BELOY
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15,00
Each Manuf'd Home or
Modular 'D~elling
Service or Feeder $ 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
S 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100u volts see "B"
above
D.
Branch Circuits
.'
Ne~, Alteration or Extension Per Panel
<' /)0
$ 35.00 ,) 5'
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
$
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
$
$
$
$
'5~. .ro
1.'7~
/'('--l
37- J'fl
40.00
40,00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL