HomeMy WebLinkAboutPermit Electrical 1997-9-26
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SPRINGFIELD
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225 FIFTH STlUlE'rrlzod Signature ~\ :"A:L~ ~ ,,\<i. ~::; ,
SPRINGFIELD, OREGON 97477 ..J<-r '\~ ~Cl
INSPECTION REQUEST: 726-3769 ~~!$' ~~
OFFICE: 726-3759 ,.~. ~ca ~ ~'f-
~~ ~ ~~ ~" Q' 3.
1. LOCATION OF INST T~~ ~Cl ,~Cl
L111 !-k...lol<.) R !&.~ ,0" _ ,CJ<() ,'~v A.
,- '" W ~.
LEGAL DESCRIPTION ~ O~~ ~~~
1'70':l, '2.2.LJ. f..l.o 7 ~oo CJ ~
if
JOB DESCRIPTION
5<L~I~ A..C. l.A........+s.
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. CONTRACTOR INSTALLATION ONLY
Electrical contracto~~~~~
Address 9f\{) \ I J ?JYt.=:U{)
Ci ty Y 1 ~ Phone ~'~\o3:1
Supervisor Llcense Number a. t;5l~
\\J' \ .CA~
Cons t r Con t r. Number t:fJ 9,\1) ?:JJ
EXL:l:on Da te \. 1-- ~ .qf)
SilZ:Ph/~~c~
./ D.
rners Name SO.....-b<-I~ ~
Address Ifll ~..Iet..J R.&o.c:9.-
City 5~r"r1.,h'Ll4 Phone
Expiration Date
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---~::iG:=-~~------------------
RECEIPT #: ;;l.75H...
RECEIVED BY: -IdJ
ELECTRICAL PERMIT APPLICATION
, City Job Number Cj'll~<i~-
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Cost
Sum
1000 sQ.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
,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
Reconnect 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
.$ 40.00
$ 55.00
$ 80.00
volts see liB" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
SignlOutline Lighting $ 40.00
Limited EnergylRes' $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE '~7. ----
5% State Surcharge ~~S-
3% Administrative Fee /./1
TOTAL ,1'. "U:-