HomeMy WebLinkAboutPermit Electrical 1998-12-19
.~6-b
The following project as submitted has tho following
zoning, and does not require opecriic end uuo
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
ZonIno
We77
726-3769
Authorlzod SIgnature
1. LOCATION OF INSTALLATION
11101 \ )....) L-A.lJh Ik.)....yo
LEGAL DESCRIPTION
l~ n~ Od->~?' - nlla().
. A.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q ~O ;)... I 3
3. COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items Cos t
Sum
JOB DESCRIPTION I \'
R,;"......d;:l' ~~c...l p-<;. Cap~..IIA.""lSI'9...'"
f' r-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B.
,,",0 e....nlwe:s-r
Electrical Contractor 1,....1)U...,-r~I.~I_. ~It::..
Address 4s I -Stte;LL~. lAJ IT C.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
City-s\llr,u,;\?Cb Phone i-z.;.c.. ."",u... 401 amps to. 600 amps $100.00
. . Mn11r.e' 601 amps to hOOP amps $130.00
Supervisor License Number /h 77S":TSHALL~e.WO'1Hl:ilh~olts $300.00
. . Tt-I1Sl"t:n,v.\ 'R'e'~~MrP~T $ 40.00
Expiration Date /CJ~/ /9JAUTlo\Ol'l17FOUNOERTHI
.c..ISl,~sOOrices or Feeders .
Constr Contr, Number DtlO(=(1S0MMENCEOUH t'nstallation, Alteration or Relocation
ANY 180 DAY PERIOO.
I - 1- ""> 0) 200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Expiration Date
Signature of Supervising Electrician
~/~ ~ ~-^~
~. /1 D.
Owners Name FRG?"fl' uJ h'el'-1J-EIl/
Address /7~/ f/J/L.4/J/cI {l)A- J
Ci tySp"'"'1-...fI~/.d Phone
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-------i-~(q-~-9g'----------------
RECEIPT II: .:+.'lS ,,&; 6
RECEIVED BY: dvJ
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
.'
New, Alteration or Extension Per Panel
_L $ 35.00
34 -
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 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
5. SUBTOTAL OF ABOVE "SS-
5% State Surcharge J .,~
3% Administrative Fee I o~
TOTAL "'" 7 1!!>0