HomeMy WebLinkAboutPermit Electrical 1997-7-24
.
SPRttFIELD
;,:'
11
Zonin~l
Date '7"-L4-~
Authorized Signature JJ M
,
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1. LOCATION OF INSTALLATION
_~:;) () rf/rJ/l 101. J) (JrJ
1.Jf~PTIO~t1~f6
JOB DESCRIPTION
,'"'51 (~Lif,~(1 ~
o
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
Expiration Date
Constr Contr. Number (o47~ /
Expiration Date :oJL. /gR
Si~~iSing Electrician
ovn~e1\~~\(\ M
'dd'.'~ 1'11,\(',J
City Phone
- . ,
OVNER N ALLATION
The installation is being made on
property I ovn vhich is not intended
~or sale, lease or rent.
Owners Signature:
~A~~~---------I\-~~~-------~~;;~-
RECEIPT 1I: ~I ~r-.'.>. IA\QI"}"I..J../
RECEIVED BY: ~
ELECTRICAL PERMIT APPLICATION
City Job Number Q~
3. COMPLETE FEE SCHEDULE BELOY
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or ~
Modular Dvelling ~~ ~
Service or Feeder ~.~ ,.t::J.... $ 40.00
~'v o!;p'
2. CONTRACTOR INSTALLATION ONLY B. Services or Fee~~so-~~ O)~
Yo. '. Installation, ~~'tws
Electrical Contractor YY\()A1i,..;, ~V7\.....'S:,;""..o or Relocatio~ ~~ C~'(,y
"'0" ~ "'- ~
Addre:;:;~.~ f.l!YY\ I"no..t{l {: ~ 0 ~Sf__. 200 .{Jt])ps" ~~'t-vl.tI.'ts "':9~
-. - - 2Q.lr::ifup~'to:~o.~ll1-Rs
Ci ty E-n OO~ Phone~-~4-;;Q/I 4Ql' amps ..(0' 60'.0 ~s
"'1ro~.a'mR~~~<8u~<<amps
Supervisor License Number 3t:tq 5/ 1::/_ ~~~-o~~~vOlts
jtJ-Or-qq CJC1 o\~
c. Tempora~ Services or Feeders
Installation, Alteration or Relocation
$ 85.00
$ 15.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
200 amps' 'OT 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"
D.
Branch Circuits
above
,,'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
not. included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting ~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
20.00
36,,00
""EI15: 0..9
S
$
$
$
"::;,,-/0 ~
/~. v""'.
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