HomeMy WebLinkAboutPermit Electrical 1999-5-24
. .
, rOJect as subm'tl d h '
zoning, and does not re . I e as the foJlow;
approval. qUire specific land Use
Zon;nn Li) R-
Dale 5 ;Ol.'f -Cj "\
Aurhonzed Signature ~J
97477 -
726-3769
Citj Job Number
ELECTRICAL PERMIT APPLICATION
yg -ltJ 7;-
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
3 COMPLETE FEE SCHEDULE BELOV
1. LO~ATIQN- OF j1i~STALLATION /) )}. .,
Ifq~ Il1e/(E/t"z IEUE5'~ j/,,{.A. New Residential-Single or ~
Multi-Family per dwelling unit.
LEGAL DES~~~~- O\:l-~S!,aluao Service Included:
, '---J ^3 "0 V" .k=..~allPopaqUlnU
1--' ( ) -+::> -..- WJ"IIU" 6Ullle:> Items Cost Sum
\w" ., 'aloN) 'JalU'=''' co"'. '
. PgJl DES~I~\tl~ldO:> U\elqo AeUl no^ '0600\ 1000 sq. f t~QTI9J;;, $ 85.00
f/ It e. M Ws~.w all\it~;, MiU'(\~~96 ~'V?o~ Each addi tD!d!&fIEl!lm SHALL EXPIRE IFTHEWORK
-~U~ ;;'an :olSOlll'Ja\uaO O!le:>\l.l I sq. ft orAl!l1'jlj~DUNDERT~SP~RMIT
Permits are rtll!ll-~"'aW~fe <i,b1\~q~d~i~'elJMOIIOi thereof ". " 15":00 ISNOT
if ..ork is not\\\lItlaJ:lI'~~J ni;t>>-~IUJjtQn:l:aY-S1l\\31J'" Each Manu19Q~C&PUHI"f\BA DONEDFuH
of issuance oroillfo~8'f1l.n1'S suspended for Modular,QI,flj1UOIDAY PERIOD, ,
180 days. Service or Feeder ,$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
/V ~ I:? Installation, Alterations
Electrical Contractorl~h'/A"'#/~ RU'l.i:i /~ or Relocation:
Address t:a .t5o;c:-)//;: , ~'b~;s or less
, /D /J ().' 201 amps to 400 amps
City L/1ES'W~C"<:"'Phone >Jlr:2J'~5'- 401 amps to 600 amps
601 amps to 1000 amps
Supervisor License Number Over 1000 amps/volts
Reconnect Only
Expiration Date
Consn Contro Numbert? 6 7" CjL( (j
Expiration Date t' - If.--- .2 Or7rJ
, Signat~pe~v~~trician
Owners ;a~ -+c~o, R ~p~.
Addres~ 0 ~.:z.. 7/\') S
Ci~ Phone
OVNER INSTALLATION
The installation is being made on
property I own ..hich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: 6) ,;:2..<1/90,
RECEIPT if:. n>;<=t.)(A J
RECEIVED BY: -P r".Q (' 'A fl ,.,11e...
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ..ith 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 'f 1) ,00
Limited Energy/Comm '- .' $ 36.00 l..-
5. SUBTOTAL OF ABOVE dO UD
5% State Surcharge I ,~J
3% Administrative Fee . 00
TOTAL -::-, ,V,r;