HomeMy WebLinkAboutPermit Electrical 1997-3-5
TI. ~ ;~:J')\."ing oro'e t
~:r:;'"..:,tJ, f'nd does1 ctas St~bm1i':::-f h~~ l!. '>..
i.l1='pro.'al. no reqUire c~: ~:.':: ' . .1IJ
Zonino L-ot2-
0"!03-S--11
97477A,.. . - II
726_376<j'zed Sign.tura_~jy.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
.1. LOCATIOr-: ~ INSTALLATION-:7~
/ft,~/7??~~ ,_~.~. A.
LEGAL DESCRIPTION
/~~'?4-2/ /~/~~
/
~JOB DESCRIPTION
~/ _~~/x:7.t:>~~
~~~~--;;t~d~?'pi-::
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~~~
.......- . . ;
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name ~...-?? ~/flj1J/r D.
Address /$55 ##V??~&'M
, /F ..." .
City .?l%D..7;;:>~_ Phone ?~.~7~
/; / v;." 1 o/)<,t77 /. -
OVNER INSTAL~rtON'
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
~.t:::l:~
-----~~-~1-t~--T----------------------
DATE: ~ q7
RECEtPT 1I:~ 7"7~:2.
RECEIVED BY: ti. ./" /~....-?-
o. /,r
SP.FIELD ,...,.... ,...
ELECTRICAL PERMIT APPLICATION
City Job Number ~7""?3 ~
3. COMPLETE FEE SCHEDULE BELOI/
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. it or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder $ 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 am~s 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 $ 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
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
~ited Energy/Comm
suW~~OV~
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
f;fpIt~~
. ~ .7JL
-7/7
/ L.. -:2L?
,