HomeMy WebLinkAboutPermit Electrical 1998-8-13
bmltled hall Ill<> followi
The following P'~ 08 ":':Ire apocn\c land U..
zoning, and doeS r
approval, .v
'--~Z"'1i"5l~
97477Dal~
726-~~R~ed SIgnature nM
3.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OJ: INSTALLATION /l ..L
RC-f'l<' 1m I~ z-, ~ L,;-l -.
,GIf 6~~'E!f~lI? JOG
JOB I P,ESCRIPTION
J.-OJW Vq~. s:~.. I 'n-!j .' 771 (!OM!'OTUz...
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical cont~actor~/~~~5
Address l.f6.s /1;~Wj c "/'<'/9"
City /?,pF Phone1!L'I-!'1fL
Supervisor License Number/~7~A?~
Expiration Date /()-/- '7''1
Constr Contr. Number Ilj6;)....p'S
Expiration Date {9 -;;2.../ - 0-0
Sign~~g Elec~ician
,/ D.
Oyners Name. h r..k... /fa. f~~
Address 2 ~ 2- /lJ.RtJtj< lUODI1 () ,(fL
Ci ty fU-9' /\0 _ Phone M.-q ~ <:: / 9 ~
OVNER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
~or sale, lease or rent.
Owners Signature:
DATE~-------~71-~--t~~----~--------
RECEIPT II: -, ~ ( -() '\ 10'-1 -2-
RECEIVED BY: <F.!Ih/A -=--
, .
ELECTRICAL PERMIT APPLICATION
A.
c~ ~ob Number q 1: () Lf ~ S
COMPLETE FEE SCHEDULE BELOY ~
Ney Residential-Single or
Multi-Family per dyelling unit. :
Service Included:
Items
Cost
Sum
B.
1000 sq.ft. or less $ 85.00
Each addi tional 500 tlO~"
sq. ft or portion ~\\"f\C ni:
ther~fr.~,:. c'/..?\'i'. ~ ~'\:JO
Eac~~~t'C,QCi~\..or ,f\\S ?'C?\'!\ \,O?
Modw...~n>\fm!ll~\\lPC~ O~c\)
Seriti~~&\'iZF~e'<l'~\S ~e~~\) $ 40.00
~\l o;,,,\r.cD 0 \)
serviq~b\f'Fee.f.\ers\O '
Ins tan~.~iRM)PAl tera t ions
or Reld'ca t ion:
)'ou\O
200 amps or lessn\l!"'leqU\le~fi"~
201 a~p'sN.W0(<.ODNlllii...)'tneUI"g::> \~
401 amplf'1:H,s6Jllb\li.\li Is _0 ruleS a~Y.l ,@j)\-
601 IUliP)!llpo~ eQ!ll01 a ~~~Il"Qn u"'~i"j Iff1,OJ)'
OveflotIl106\\~J!1~{l.Offi\fif ' ,"s 0\ I$'~d oge
Recc\R~9af1i\(.l.)' ob\ai" L~_. the\$\e~J.Rtg"
0090. :ou hA ce,,\el, t,. .- \W\'1 No\\I.Ca
TempOr~\~rV~€)IEl<jj01fl'~3~~)'
Instal~i'l~\OI fts"l8\t~Q;t? or Relocation
ce"
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55,00
Over 401 to 600 amps $ 80;00
Over 600 amps or 1000 volts see "B" above
C.
Branch Circuits
"
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
)O,6D
1.2 ()
';i : (~t(y
,-; (), f) 0
40.00
40.00
20.00
36.00