HomeMy WebLinkAboutPermit Electrical 1998-1-30
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rhe following project as aubmJlted hall the toUowing
toning, and does not requlle speclllc land U80
225 FIFTH STREET approval. ..-/ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonl~ Y q 17D'2
INSPECTION REQUEST: 726-3~6.?:<D-'vl!2 City Job Number 7 - ~
OFFICE: 726-3759 Ollie . ~
Authorized SlgnaIure-+t:II"I...3 .
1, LOCA.TION ~~~NST~LATION . -
.9~1 TAJSLf\o.:ti.Q.Y\<'AJ UJCU:- A.
\ ~\ ~~PTIO~(j)(Y)
-r-. JqB DES~PTION ,
...11}217'.l..J \ (f,tl.d 1'1 11 "') I j n
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
Electrical Contractor E"')iA T(\C-.
Addr.ess 1.1 If) (}(\tOllJC1\ t?cI.
Ci ty [:U(11.1t.L- I Phone <1l4Dri-
Supervis~r License Number L.{,)'S--
Expiration Date
Cons t r Con t r. Number,)[),,lL::j ~(' L:S
Expiration Date_ j()-I ~q~
Owners Name
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-----'~-:3~-:~~------------------
RECEIPT jI: _/'7, /,1 q:..
RECEIVED BY: '\(u )
COMPLET~EE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems
Cost
Sum
$ 85.00
B.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or F~der
g:ol--
Services or ~~rs
Installatio~ ~t€rations
or Relocatidn:~ I..C
~Q:'{iJ
200 amps ~ ~~
201 amps ~ ~O~mps
401 amps d'P ~~mps
601 amp~;1O~O~ a~ps
Over 10~~~~ts
Reconne~ ~l~ Q;
'. !::: Q If
Tem~r~~e~i~s or Feeders
Ini:O.~~rt5 Jteration or Relocation
O!i!l~;:E~
2~ W8::lO~~s $ 40.00
201 amp~t~4JV amps $ 55.00
Over 401 to 6~ amps $ 80.00
Over 600 amps or 1000 volts see "B" above
$ 15.00
$ 40.00
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
D. 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
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
1../0. 00
~.n{)
L~.Ii
~r)
I./f}()()
40.00
40.00
20.00
36.00