HomeMy WebLinkAboutPermit Electrical 1998-04-22Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
Address fr5 Madt
Ci ty 6f^ene _ Phone 4 ZL
2. CONTRACTOR INSTALIATTON ONLY
Erecrrical contracto. RU i tden EteCkf'C lfp6. Relocation:
I
225 TIFTE STREET
SPRINGFIELD, OREGON 97l+
INSPECTION REQIJEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALIATTON
>o)o 3t s+-
LEGAL DESCRIPTTON
JOB DESCRIPTION
N'(i,,, .r4s
---o---Supervisor License Number
Expiraiion Date
Constr Contr. Number 20'lLc
Expi r:a t i on Da t "l o-l-98
Signa tur e of Sup ervising Electrician
Ovners Name
The installation is being made on
property I ovn ruhich is not intended
for sale, lease or rent.
Onners Signature:
DATE:
i-he folle'sing g::roject ss submittcd has tho lollowing
.:,'rnirig, and does not requlre epecific land uoo
29"o-s
SP' ;FI[:LE,
ELECTRICAL PERHIT APPLICATION
Ci ty Job Nuruber 7%
COMPLETE FEE SCEEDIILE BELO}I
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:
I tems Cos t
1000 sq.ft. or less
Each additional 5OO
sq. ft or Portion
thereo f
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
$ 8s.00
s 15.00
$ 40.00
Services or Feeders
Installation, Alterations
3
A
Sum
B
C
D
E
Temporary Services or Feeders
Installation, ALteration or Relocation
200 amps"or fess $ 40'00
over 4bL to 600 amps
-
$ 8o.oo
0ver 600 amps or 1000-volTs see 'tB" above
Branch Circui ts
Nev, Alteration or Extension Per Panel
200 amps or less
201 amps to 400 amPs
-401 amps to 600 amPs
-
60L amps to 1000 amPs-
Over 1000 amPs/vo1ts
-
Reconnect 0n1Y
e
SUBTOTAL OF ABOVE
5% State Surcharge
3Z Admini.strative Fee
TOTAL
Miscellaneous ( Service/feeder
-Eaeh instalLation
Pump or irrigation $
si.gnloutline Lighting- tLiilited Energy/Res
-
S
s so. o0
s 60.00
s100.00
s130. 00
s300.00s 40.00
not
40.
40,
20.
36.
7
3s.oo+51
2.oo 4. -
Address 2D2 .D 7,/,F
One Circui t
Each Addi tionalcirv 4,?*LT Pno"e-' z/{* V/Circuit or vith Servic
OVNER INSTALLATION or Feeder Permit
s
$
included )
00
00
00
00
5
r.ll
RECEIVED _43-4*
/,-o? -7q>ree/aa'a>
6/a/. 15< ,/t
ro - l -gfa