HomeMy WebLinkAboutPermit Electrical 1997-8-19
.
SaGFIELO
The,following projOt;t as sub .
zonJng, and does net r"qulf mmed, t:n.'3 the fOllowing
approval. e sPGClflc I:tnd u.so
Zoning. \ ~ ELECTRICAL PERMIT APPLICATION
974.Pf:.t."-=:.--' q - <17
72~-3769 . f\
'U"'VJllcd Signotlt{~_LL(Y1
.3.1 COMPtETE-FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATJJl!:! .
5'9P /::n-.4.A'/7'& .PC . A.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~?//b9
City Job Number
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
uni t.
LEGAL DESCRIPTION
./?lo~'3s1-/:Z_ /~..e;tO
Items Cost Sum
1000 sq.ft. or .less $ 85.00
Each additional 500
ft or portion "
sq.
thereof $ 15.00
Each Manuf'd Home. or ,
Modular .Dvelling
Service or Feeder $ 40.00
JOB DESCRI~ION ~
~~~(If1} r~ /-.1=.:>. h~
,
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
, ,
2. CONTRACTOR INSTALLApTION ONLY B. Services or Feeders
__ /.// _/ Installation, Alterations
Electrical Contl'actor /#<<<t- Co ~ /C-C:/PIc;.or Relocation:
Address /tf/.O. /0 t -;' 200 amps or less
? / a ...3 201 amps to 400 amps
CitY~rl'//?lL-,n{/Phone--:?2t-/3tJ 401 amps to 600 amps
) ., 601 amps to 1000 amps
Supervisor License Number 2!...-? 1 .r Over 1000 amps/volts
/ Reconnect Only
Expiration Date /t?/tJ/ /9 1 .
/. ,
Constr Contr. Number .:;J{).-/ /2. 'C
/~/d/ rt
Super '. ing Electrician
~A/
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
200 amps. 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80~00
Over 600 amps or 1000 volts see "B" above
Expiration Date
Branch Circuits
D.
, ,-
Ovne s Na e ~Q'" ~~P"""
I . . - -
Address ~&> ~~_/~"'p1: .
.'
Nev, Alteration or Extension Per Panel
$ 35.00 "?~~.
One Circuit I
Each Additional
Circuit or vith Service
or Feeder Permit
City ~
Phone
$ 2.00
OYNER INSTALLATION
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
.5. SUBTOTAL OF ABOVE ~ ~ ~~__
5% State Surcharge I .:?:;.
3% Administrative Fee /.t::)$'-
TOTAL ~~. ~
The installation is being made on
property I ovn vhich is not intended
~or sale, lease or rent.
Ovners Signature:
---------------------------------------
6.~-9-:>
-<? p '=1
~./_~ .
,/-
DATE:
RECEIPT jj:
RECEIVED BY: