HomeMy WebLinkAboutPermit Electrical 1998-6-12
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The following projilot lIS IlUbm
zoning, and does not require op.;<k II.If1O .....
approyal. \
Zonlnp d- V
~~~,hlCAL PERMIT APPLICATION
Dati" -IZ'1( ,
AutllOrized SlgnllIun> n >'Y\Ci ty Job Number 9gc; Y6/
3. COMPLETE FEE SCHEDULE BELOV
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days. , /:.1v
2. CONTRACTOR INSTALLATION ONLY1/ 't> ~ B.
, , "C v,.;., -0 ..~
Electrical Contractor -#.. ~C;j1,,~~<,;
/r.d ~~~ '~~~ Q-&
Address 1 v T Z 7~ tftb. ~::.. <'/ ~ 200 amps or less (/' $ 50.00 ?P'. .,oz,
':1 '0_ -~ ~( 201' amps to 400 amps $ 60.00
Phone TZ'? 'l;t~.q;, ~ ~401 amps to. 600 amps $100.00
~9/ '0' ~ ~1 amps to 1000 amps $130.00
Number '1'(5-~) -1~ ~..o~r 1000 amps/volts $300.00
I f t7 "~ ~e~nect Only $ 40.00
Z 90 ~ ~ ~
1/ C.~T~~~y Services or Feeders
i;?5J5-7 BB iBs l~ion. Alteration or Relocation
~ ?'
/ Z( '1 g 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
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REOUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
-2<'>92 ,I'-~,&~~~,
LEGAL DESCRIPTION
/~..,,?~ -//~.2? ,~2'ibt:?
- I
. ".rOB DESCRIPTION /J /'"'
/!/cj:y :z.~,/7'~.P .?~Y/~
City e~
1/
Supervisor License
Expiration Date
Constr Contr. Number
ExpiL-ation Date
Signature of Supervising Electrician
~~
tl
Ovners Name ;J??( 47.:> 7LO..w~
Address '20.?J:Z ~A'~ '"~--=-
Ci ty ??P'^t:-P.. ~.Phone 7L/"'-~CJ<?'7
, O~~ INSTALLA1?t;77 '
The installation is being made on
property I ovn vhich is not intended
for sale, lease 'or rent.
Ovners Signature:
DATE~------iJ2-~T~-~~-----~----::
RECEIPT 'II: ~,,1'0.)~
RECEIVED "BY: . y1....lVJ
~ V~
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
$ 85.00
$ 15.00
$ 40.00
Serv~ces or Feeders
Installation, Alterations
or Relocation:
D.
Branch Circuits
."
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$
2.00
E. Miscellaneous (Servicelfeeder not included)
-Each installation
Pump or irrigation $ 40.00
SignlOutline Lighting----- $ 40.00
Limited EnergylRes $ 20.00
Limited EnergylComm $ 36.00
5. SUBTOTAL OF ABOVE ~<7.pC:>
5% State Surcharge -:::l.5~
3% Administrative Fee J. ~
TOTAL 5' 0/. 2:.=