HomeMy WebLinkAboutPermit Electrical 1997-6-27
.
/.;
.
. '
The, following project as submitted h~s tho following
zo",nQ, and does not require spectllc land uso
apJ.irov&l.
Zcnirl\l LJ 19.......-
Dote-'n'- 27 ~C(1
9 My>rized Signature l\)h1
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~I 3. ~OMPLETE FEE SCHEDULE BELOII
~ev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1. Ji(~CfJI~",OF nI.NE,T!):H.AT
\:-'11 ) \ qml\ ill \ ~ .
I 'I t53d~~PTr\OtJ {fJO
~~B DESCJp:PTIQN 11 .
~'AC'L~ ~1)1(lCL.q...\ 1.fJ!..f:h
PermIts are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
E1ec trical Con trac tor -:[1,.IUf';, ~~.c..
Address,=3/7D mt:::Y+Dow L-N
Ci ty f::Lu..,I:-f..J/3' Phone (",iN, -/'" I;L(
Supervisor License Number 27/"1 S
Expiration Date ,~ la.jll
Constr Contr. Number 2()')'79C
Expiration Date '~ ~7
Signature ~g Electri:ian
N~~T/'f" p,;,~.P:;'IA (\,. '~+
Ovners Name di ~/ylhYt. lJ{,I.}U
Address _' ,.nil ~ Q, ~
Ci ty.. NL J.d1/ Phone
~)INSTALLATION
ELECTRICAL PERMIT APPLICATION
C\1\t'f)l
City Job Number
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, Or
Modular 'Dvelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
Items Cos t
Sum
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00 .13D-
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
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 $ 35.00
Each Additional
Circuit or vith Service ~O
..-. -.. - - Feeder Permit If) $ 2.00'
or
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~ATE~--------1--7----lC5~s7' ;'
RECEIPT #: ~~ ~II_</ '"
RECEIVED BY: ,./ '-"'~
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
~.c0
'1 . 'EO
- <\-. ?"?
Ilo~.OO