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? ,