HomeMy WebLinkAboutPermit Electrical 1998-6-4 ". ~ l1(jr,C l.onI,J.Ay rHIS~' " ' . ~"/ ,PER~J, -. " / ^ AUr~ri' "qrsLt;L'--"",. . 't!! -=- - '7vRI1~, ' '7,., L Ex, -~ , ""'~'''~I',:,JI''5'1'1l~1/i).M COM..~~~,,!DER PIRclpfi;.: ELECTRICAL PERMIT APPLICATION SPRINGFIELD. OREGON~Tik~OR..'''''Jfj$Pi!J :fWOR. Uv- INSPECTION REQUEST: 72~'PJi'~PEP/SABAND' RM1rISN, 1lCity Job Number -fo 0 2\?0 OFFICE: 726-3759 '7IOD ONEDPflA Or , 3 . ~MPLETE FEE SCHEDULE BELO\l 1. L9c~:tPN Of. INSTALLAT~N /6 '/.2 1-/ A-t2. f3 0 tZ. VR LEGAL DESCRIPTION JOB DESCRIPTION g,(\, A.,<;" f- 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. 2. CONTRACTOR INSTALLATION ONLY ,I Electrical Contractor i I I' I: I! I; I, Address City Phone Supervisor License Number Expiration Date Constr Contr, Number Expiration Date Signature of Supervising Electrician I Ovners Name I /l~ S..-o..; /HZ. 'I Address /-67,) /J,A(!..{2,1l1L OIL, City SOP, Phone 7L\7-7r"f76 O\INER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Olffiers Sign~ /~- /Y/ ,,- ~ATE~-'-"-<i:::.---Z--~-r;------"--- RECEIPT If: II 50/77'.. ,~J RECEIVED BY: ...v w.w . A. Nev Residential-Single or Multi-Family per dvelling 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 'Dvelling Service or Feeder $ 40.00 B.' Services or Feeders Installation, Alterations or Reloca t ion: 200 amps or less 201 amps to 400 amps qOl 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' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above " Nev, Alteration or Extension Per Panel { $ 35.003. (00 One Circuit Each Additional Circuit or vith Service or Feeder Permi t , 3-,' $ 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 6/00 t. 2.00 not ,included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 , a'l: JO') ;H.,... , ! -~:D..s -,ii'~, ~~~,~J-