HomeMy WebLinkAboutPermit Electrical 1997-4-2
The,following. pro:ect cs submitted h1.s tho fo~
zOning, and does not requir.a ql3ciac I.::nd UJ'
approval, \ -
Zoni"" LDC?
225 FIFTH STREET Date Lf -L -'j7
SPRINGFIELD, OREGON 97477 Authorized Signetur JJI'Vl
INSPECTION REQUEST: 726-3769 B.
OFFICE: 726-3759
1. LOCATION Of INS:rALLATIONf /J
'1c.,~ Me 1(.~Vl;U "" GJ....s .r
I ~;Jllif!ff?;7oD .
JOIj DESCRIPT}ON .
.5-{--<A/'ea P'vc. &/'"",e.
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. .B.
Electrical Contractor --TtteS/"d,"o .5-10",<:..
Address /07'7 (hI-ie..,. I?L.V....f t.Jc,y
/
Ci ty E:/?J'.-'L" Phone '3 'I..s--300 0
)'
Supervisor License Number
Expiration Date
Constr Contr. Number Cl076(,~7
Expiration Date
fJ/7-J/57.
Si;;Z::/ ~ing Electrician
o:ners Name 'AIM foc....} " IJ" 6 "'vi ,pE,> / +-
Address..!,{; G {,(t!.
City &j')-<:.~p_
,
Phone 'I&-4~ ()070
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
,',
,
~\
~~~~~:l1~~~;~~-----------~
RECEIVED BY: X' . fl/l1A/'--
ELECTRICAL PERMIT APPLICATION
Gi-t.y-Job Number -3 7 D tJ ~
3.
COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
It ems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular, 'Dwelling
Service 'or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400, amps
401 amps to, 600 amps
601 amps to,1000 amps
Over 1000 amps/volts
Reconnec t ,Only
~.
Cos t Sum
unit.
$ 85.00
$ 15.00
$ 40.00
,.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' .'0. less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
,.
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit 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 ~
Limit~d Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ]O.D[)
5% State Surcharge
3% Administrative Fee
TOTAL