HomeMy WebLinkAboutPermit Electrical 1997-6-10
S'.'IINCI"II4LO
. [." ,~.,.. ",."
';'ilted hBS tho foHowing ":.i~ . <'c. ..
. eciiic ",nd uWC'l'RICAL PinutIT APPLICATION
(LV Ci ty Job Number Of 1 O~75
The following project as &,
225 t t .:>> .' zoning. and doeG r,ot re .
..L Ul u\.t0.6.L approval. .
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Zoning
OFFICE; 726-3759 D2rto \0
3. ^COHPLETE PEE SCHEDULE BELOIl
l\~1 ,
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost
JOB D"~"'TPTION
, .,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Electrical Contractor &.uuuD ELECl'RIC Relocation:
Address
0() "tOY 77"<;
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
City
Phone
686-8612
F1 1c;a]E
Supervisor License Number
3240-8
Expiration Date
10-1-98
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
038702
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
12-21-97
200 amps or less
201 amps to 400 amps
Over 401 to 600' amps
Over 600 amps or 1000 volts
Signature of Supervising Electrician
~~f
D.
Branch Circuits
Ollners Name F11Wlllm r ()HNF.Q
$ 40.00
$ 55.00
$ 80.00
see liB"
above
New, Alteration or Extension Per Panel
Address 471 HAYDEN BRIDGE ROAD
One Ci,rcui t 1
Each Additional
Circuit or with Service
or Feeder Permit ~
City
~~J"f\Trt:'T1n n
Phone 747-70,<;
OlINER INSTALLATION
The installation is being made on
property I Olin which is not intended
for sale, lease or rent.
$ 35.00 3.'>. fA)
$ 2: 90 1.k.:-oo
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
Ovners Signature:
~ DATE: /;r<~q Z l,~ln-(r I
RECEIPT f: '1(;,12.<,
................ BY: tt-.
5. SUBTOTAL OF ABOVE
5~ State Surcharge
3% City
TOTAL
51.00
d' s:r
1.$3
55 () ~