HomeMy WebLinkAboutPermit Electrical 1998-1-21
. '
ro followlnq profect os oubmllted has the following
ZQI 09, and does not r9qwr& opeclfic land use
approval
Zoning (U
Data.! -/1.:31,
~1JIZed Slgnatur~ n l'Y\
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
';1 ty Job Number
97DS2. 7
3. COMPLETE FEE SCHEDULE BELO~
1. LOCATION OF INSTALLA~T:-
5'/%/5:" ~/'f-?'A.l , A. New Resldentlal-S1ngle or
. MultI-FamIly per dwellIng un1t
LEGAL DESCRIPTION t9+S"EH/ Serv1ce Insluded:
--.L.$J2 ~~ ~ L Items Cost Sum
JOB DE~ Ale #,{Jtj 1000 sq.ft. or less $ 85.00
E/Le( Each addIt10nal 500
sq. ft or portion
Permits are non-transferable and expIre thereof $ 15.00
if work is not started w1th1n 180 days Each Manuf'd Home or
of issuance or If work 1S suspended for Modular Dwell1ng
180 days. SerV1ce or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. SerV1ces or Feeders
Electr1cal contracto-;B,-( ('S ~ 1.( :r. Installat1on, A1terat1ons
or Relocat1on.
200 amps or less I-- $ 50.00 ~e..:ll:l
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
a OF'! 5 601 amps to 1000 amps $130.00
Superv1sor License Number fd t/ Over 1000 aals/volts $300.00
Reconnec"'."Qn"b $ 40.00
Expnatlon Date /0 - 9 q - .~()r:so ~(j
c. ::~etar~~r&~es or Feeders
Constr Contr. Number .;1./1 S' I .~~~"~~\XA~ratlOn or Relocatlon
'aa <;,\Y> (;),?Io' ~o C:) ~
Expnatlon Date tj- ~ f"'- ( I ,J.~a'~ '~-qef\\.fJ $ 40.00
!0~'2W~~~Sr-o ~'amps $ 55.00
~. ature of su~e viSIng Electrician (;),?~(j o~~-f?-(lrI to ~60 amps $ 80.00
(A A / v>O>> ~v>">> ~. 600 amps or 1000 volts see "B" above
L / /' ~'S ~~
"" - - .l':.4M~O~C:)'~~"" Branch Cucuits
Owners Name~/'~ ~~____~____ ~-
New, Alterat10n or Extens10n Per Panel
Address 5'805" ,w~-f) ST"
Ci ty ~~_, Phone 726-'7L.1i'f
01lNER INSTALLATION
Address...1 r 70
/I~
W(5T
City
Phone
,
The 1nstallat1on 1S be1ng made on
property I own Wh1Ch 1S not 1ntended
for sale, lease or rent.
Owner~Slgnature:
------------------7;---
DATE: tel-I( f"6 /
RECEIPT Ii: ~"'" "'2 'i,
RECEIVED BY: ~-
.'
One C1rcuIt
Each Addl tlonal
C1rcu1t or w1th Serv1ce
or Feeder Perm1t
$ 35.00
$
2.00
E. M1scellaneous (Serv1ce/feeder not 1ncluded)
-Each 1nstallat1on
Pump or 1rrIgat1on $ 40.00
Slgn/Outline Light1ng $ 40.00
L1m1ted Energy/Res $ 20.00
L1m1ted Energy/Comm $ 36 00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Adm1n1strat1ve Fee
TOTAL
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