HomeMy WebLinkAboutPermit Electrical 1998-11-4
.
--~.---,...
~
.ro fSl~
~ ?~O/.6
j()....Ot-~~~
o ~"O'~.(\
225 FIFTH STREET f. .,.~ ~ oo;'Y"lo- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974770:;0' 'l:>/.'~~ ~ /
INSPECTION REQUEST: 726-376"\, , "'''9,,~~ Ci ty Job Number qg- /2-Y,,-,
OFFICE: 726-3759 ~ '- '1. IJ.iJ
"o?,,," '~. ~LETE FEE SCHEDULE BELOIl
1. LOCATION OF INSTALLATION '" ,~
. '-tt~S !hr. Lt-ll ('0/.0 0.7 . New~idential-Single or
/. Multi~~ily per dwelling unit.
LEGAL DESCRIPTION Service !bcluded:
/to")..IJS',I;:'J:./O(}O Items Cost Sum
2. CONTRACTOR WC)1J'\{:,Ie:rION ONLY .B. Services or Feeders
. REIFTHEWORKnstallation, Al'terations
Electrical Contif~1i~c5":fRMITSHALLEXPI or Relocation:
AUTHORIZED UNDER THIS PERMIT IS NOT
_ _ ''''rr''''j-D.FOR 200 amps or less $ 50.00
CUMMt:.Nvl:.U un ,<> "wi-> ~~, to : 201 amps to 400 amps $ 60.00
tOO" '8~ho,,n,eoCQlnn 401 amps to 600 amps $100.00
"... . l U 1-\1 11:1>lTION:06QJOralilt1S'et!(jiriliG~Ouamps $130.00
Supervi.sor License Number follow rules adoplmtb)10000llllllJIID'Miia~ $300.00
Notification Cent&!(f~olle'!:lJIe@rnl:6! set forth $ 40.00
in OAR !'l52.001-001 0 through OAR 952-001-
0090. You <My o~lW\fil~~~16'S .dl'lPiI!~llres tW . Feeders .
",,,lIing the cenfe1?~~tephbwa t Ion or Reloca t Ion
numberforthe~~~onUti.Ii,IY.N~ification / $ 40.00 '-(u ~
Centeri - ~-~3 ess
amps fo 00 amps $ 55.00
Signature of Supervising Electrician Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
JOB DESCRIPTION
t:i "... I'J 0 LA-....-. 00...... ~
, I
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Address
City
Expiration Date
Constr Contr. Number
Expiration Date
Owners Name~A11 !11 C !;weJV'
Address /j(, Sf,;' !ft.,!""" 1"0... ~-1
/
City 5l)~"'1 f'G/; Phone
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
.~""'*~
---------------r-~--------------------
DATE: / tf / If I ff'
RECEIPT #: . 0 if'W ( 1/
RECEIVED BY: ~ tJ,.../
l
$ 85.00
1000 sq.ft. or less
ach additional 500
.. q. ft or portion
thereof
Each Manuf'd Home. or
Modular.Dwelling
Service or Feeder
$ 15.00
$ 40.00
D.
Branch Circui ts
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 not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 7'0 ~
5% State Surcharge -z..,)"
3% Administrative Fee f. L;
TOTAL 1.(1. Ln