HomeMy WebLinkAboutPermit Electrical 1997-12-22
12/15/97 15: 12
U5.W26 3689
SPFD DEV. SER,
IaJ002
.
~ ,_ ,_j,J. ;:':1. " .', . ,',
zcningLd.J( NOTICE:
D"".\2::::::::r ')--C1"1. THIS PERMIT SHALL EXPIRE IF THE WORK
AU1'225"FIl!1~I~yi\ AUTHORIZED UNDER THIS PERMIT IStqcrnuCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97fflMMFNCEDO' 11 . r/
INSPECTION REQUEST: 7'l(;:37~' . R IS ABANDONED F08i ty Job Number '1/ / I ::i- ~
OFFICE: 726-3759 ANY 180 DAY PERIOD, .-
3. COMPLETE FEE SCHEDULE BELOV .. .
1. LOCATION OF' INSTAL.LATIO~
_. 4."5.") CJ::)>K.!rr.JL l, Lfl'l"-.-/- 'A. Nell Residential-Single or
Multi-Family per dwelling unit. .
LEGAL DESCRIPTION Servi~e Included: ,,'
11 hI.., :+-:~ L../'Y dolr5b
J.QB DESCRIPTION .
. \' J f! 1 ,r, 'tu Dr! - /11, ;1')
~ ':.
Permits are non-transferable and eKpire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ltens Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
the.eof $ 15.00
Each Hanuf'd Home, or
HodularDvelling
Service or Feeder $ 40.00
B. Services or Feeders
f . Installation, Alterations
1J(>ff6I1t~r Relocation;
, '
2. CONTRACTOR INSTALLATION ONLY
Electrical contracto,(), ~,,~t.j ;d
Address P.().I~/lv ~/X'
City f 11(( IIU Phone 4~4. Q{)1'K
Supervisor License Numbe. /q'j; 2R F:T
EKpiration Date Lj - . J !.rx 1()- I q9
c.
Constr ContI.'. Number q ~ I LJ"'i
Expiration Date 4 - " -q'X
Sigo~' 'e .i.fc
b ~ .
Owners Name {'dnrL '?JH1Vh.p{,f--..
Add.ess V. (), ~" 7 47f';
City ~1/1'no Phone~
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
-------------------------
DATE: \ z..-- '2-'2-- c,.....,
RECEIPT II cg:;(;~:tf1.,.u.i
lIECEIVED By: - . A
200 amps or less
201 a~ps to 400 a~ps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
l01_amps to 400 amps
Over 401 to 600 amps
Over 600 amps 0, 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One' Ci reui t
Each Additional
Ci,cuit or with Service
or Feeder Permit
$ 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
5. SUBTOTAL OF ABOVE ;;J-o, 00
5% Sta te Su.~harge I ^,..,
3% Administrative Fee . 0 h
TOTAL .;;</, ('; v