HomeMy WebLinkAboutPermit Electrical 1997-6-1
Tho fo!iowing p~jecl es submhted has the following
zoning, and does not require specific land use
approvel. n~
Zonina l.l)~
97477 I. ~ "'1.1.....
m:'-37ti~1F-L- ~ M
Authorized Signature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCPiIOf.l 'Of....wS~~I.ATIOll "-
\\vCl ,,^,~"HO }Q.\.~
~PTIO~\.\Cf)
PTION l\\>\ .-m.lliUf~
-transferable a~re .
started within 180 days
if work is suspended for
Permits are
if work is not
of issuance or
180 days.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number Q5 O<6~ ~
3. COMPLETE FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit. ~
co~
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40,00
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
__~_ ,Jft?f. - J " Installation, Alterations
Electrical contract~u.<.n(-'Hf},W~r; Relocation:
Address ~ lb. s-;; 5':;lnrf ~ . 200 amps or less \
, . i"~ 201 amps to 400 amps
Ci tY<::M'~ Phone 7<(7 ;tfJE/;; 401 amps to. 600 amps
7"""" ;/- 7 if '7 6 I 7Cf 601 amps to 1000 amps
Supervisor License Number '17 ~ 5' S- Over 1000 amps/volts
Reconnect Only
Expiration Date !tJ.'f?
Constr Contr. Number 7l'O?~.
Expiration Date ,1tl- 95
Signature of Supervising Electrician
~;Jhu~ f:.t;;;/k,
~ners Name ~('{\t\f\ '\)(1\ ~\\
Addres;llC\l- ~~ f\~l a ,~u
Ci tY~PhOne ~'\.~\\aS \J
OIINER iJTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
71;;;r/;:;;~ "
D~Ti~-----?=-:S-;:=~-?to~p::~-S=
RECEIPT #: .~I"'~.-D
RECEIVED BY: >' .
- -
$ 50.00 QQ
$ 60.00
$100.00
$130.00
$300.00
S 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 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_OO
..Q _::M J
- \. ~()
l=:.<-\ .r 1. J:
40.00
40.00
20.00
36.00