HomeMy WebLinkAboutPermit Electrical 1998-12-18
.
. .
l:vni;,g:-;;;,;;~J:: as submltlod has the follow
'pnroval. 'equlre 8peclllc lond USQ
Zoning. fv
Octo I1/N~:;l)
225 FIFTH STREET Author1zec!~~. r'l
SPRINGFIELD, OREGON 97477 '" ~~re;::=-"-I_M
INSPECTION REQUEST: 726-376~ U7-IiO... IfIi1/'i,s. ".".~-Job Number
OFFICE: 726-3759 (,'(4/1, rf{>.s 'It-4/ I
"1'1- :11C:-iltC,::; D UNa 3'.C:-~QMPLETE FEE SCHEDULE BELOII
1. I-OCATION OF INSTALLATION '$.'1') D Oft 'l:ft l'1t, Ilfc:-/~
Ll-W V'l\f\lf'(\ I ...)t;, 1)-',,_ /8~. 7Jl~~ R~~sntial-Single or
l.--'l}o ~Nd;!u'[~a per dlolelling uni t.
1 LEGAL DESCRI,PTION '~S>~i'~esTvlf ded:
l 0 ~ 352::> I 0 I~ ,c-Oft" Items
JOB DESCRIPTION .
.b1-hrl\N.) cmo l (I~ll' ~ Cllt.m~.
Permits are non-transferable and expire
if IoIork is not started IoIithin 180 days
of issuance or if IoIork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
. ;
Electrical Contractor~~~o~1rrtl~\~1~.
Address P, f'J, 'i :
Cit Phone1Jl-~13b
Number IIoZl,S
I()-I-qg
Constr Contr, Number :lRtJ.,q
q-I-qg
Supervisor
Expiration Date
Expiration Date
Signature of Supervising Electrician
C2~.L /.?'-~
~ D.
Ololners Name (1 ~ \\ h.. ,I rLutsVv:1"'\
Address~ mf\I'~..1 .Jt:.
City Phone..1!1!J.:..J.j4fob
ELECTRICAL PERMIT APPLICATION
1000 sQ.ft. or less
Each additional 500
SQ. ft or portion
thereof
Each Manuf'd Home. or
Modular 'DIoIelling
Service or Feeder
B.
Services or Feeders.
Installation, Alterations
or Relocation:
Of 7 11.0 J.. <:t
~
Cost
Sum
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
$ 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
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
.'
Nelol, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or IoIith Service
or Feeder Permit
$ 35.00 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
The installation is being made on
property I Ololn IoIhich is not intended
for sale, lease or rent.
O\olTIers Signature:
--------------------:r-----------------
DATE: {-J?} - q'b
RECEIPT 11: ...1610,3-'1 .
RECEIVED BY: 9<W'
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
:l~,o_o
1,'15
1.05"
~.Ro