The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 1998-6-22 . .. . . ) he. following projecf as submitloo has th. fe' -')f11:fi., ~""'r' -',..,e.t' r)')t requke spe-cHlc bn~ udo ~. "zolllwlcLY Oat dd- . 225 FIFTH STREET ELECTRICAL PERKIT APPLICATION SPRINGFIELD, OREGON 97477 Authorlzoo S1gnoturG '(\ fY\ ~~~IO~2~~~r=Nafftg69. \,).9 .fob Number q ^ 05 ~ 7 rHls~ER ; SH 3. COMPLETE FEE SCIIEOULE BELOV 1. ~TION OF ~Hi, ~ N ALL EXPIRE _'-tV)1-~ ~ . UNDER" IF:TA/E~~esid~ntial-Single.or V1MENCED OR T, ,IS PERMIT IS .l1~lh-Famlly per dlolelhng uni t. 10- ,If:GAL DESCRI lIO D IS ABANDONED '!5,ifvice Included: .i..lLJL20f'2 0 OIl} AYPERlDn.. FOR Items Cost Sum .JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contracto';B:/('S z:ILJ. Address3 r 70 tV ( .':> T / I ~ City Phone Supervisor License Number 9 tftJ S Expiration Date /0 .:.. 9 c; - Constr con'tr. Number ~ /1 S' I Expiration Date tj-;)- f ..- 91 S~tWperviSing~an Ovners Name ~ : Address City Phone OVNER INSTALLATION. The installation is being made on property I Ololn IoIhich is not intended for sale. lease or rent. Ovner~Signature: - ---------------,f-- DATE: (;1'll/'1f RECEIPT If:. . ,,' /1/)1,0'15,/ RECEIVED BY: 6J( W~ 1000 sq.ft. or less Each additional SOO sq. ft or portion thereof Each Hanuf'd Home. or Hodular. 'Ovelling' Service or Feeder .B. Services or Feeders Installation, Alterations or Relocation: . 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 ( 6r $ 8S.00 ( (f) $ 1S.00 $ 4b.00 $ SO.OO $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ SS.OO $ 80.00 volts see "B" above ," Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or. Feeder Permit $ 3S.00 $ 2.00 E. Hiscellaneous (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.bo S. SUBTOTAL OF ABOVE IOU ~ S% State Surcharge 5 ,<)v 3% Administrative Fee 7. (JI) TOTAL / IJ K ...- . spttGFIEL~ zoning. an~1 dw':1o nv{ r approval. . . NOTICE: ~~V THIS PERMIT SHALL EXPIRE IF THE WORK _ Dale ..-\,., II r.. oJ AUTHORIZED UNDER THIS PERMIT IS NOT /Wit. JImf II ",:.:,,~.' ~VUlillill:NCED OR IS ABANDONED FOFELECTRICA!. PERMIT APPLICATION SPRINGFIELD, OREGON 97471. q' . C, INSPECTION REQUEST: 72di~6~ODAYPERIOD. City Job Number fO'iff / OFFICE: 726-3759' . 1. LOCATION OF INSTALLATION 'It- 5 2 1-1.:. ,/ ~-v. ("_, . / LEGAL DESCRIPTIO!i, /'1. O~I><)J7- 6'10/ D JOB DESCRIPTION / 'j{ 02-05/ z,c)9 0/0 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 Electrical Contracto-::R:I (,S z: IL:r: Address,1r70 tV,." / I ~ City Phone Supervisor License Number 9 RO S Expiration Date 10 ~ 9 c; - Constr Contr. Number ;). /1 ~ I Expiration Date (j-;}- f ..- 99 si11~ervi. . own;s Nam~~~ Address 3"\3~ ~ 0. . Ci ty ~.{)f!- Phone f?<{01t1~- :1.831 OVNER INSTALLATION. The installation is being made on property I own which is not intended for sale, lease or rent. Ovner~signature: ~~'L- DATE: ------'5/ 'l-I/,i- RECEIPT 1I: /J., qq ~ '1 II RECEIVED BY: /OJ iJlf,J/ . A. 3. COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost 1000 sQ.ft. or less Each additional 500 sQ. ft or portion thereof Each Manuf'd Home. or Modular'evelling' Service or Feeder .B. Services or Feeders Installation, Alterations or Relocation: 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 Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation D. 200 amp~'or less I 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 / $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or. Feeder Permit $ 35.00 $ 2.00 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 SUBTOTAL OF ABOVE I.f O. D j) 5% S ta t e Surcharge 7. - G) 0 3% Administrative Fee I .2 i) TOTAL L{ ?'7.AJ E. 5.