HomeMy WebLinkAboutPermit Electrical 1997-6-24
....
.'...- .
........
Zoning__
(;<::l(9
Authcrizoo Signature
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
3.
~~~4)Nlo~~~~ra-\ (~).
LEGAL DESCRIPTION
\1f\~?,-;l,4\ mo.('{)
..JOB DESCRIPTION.
;J(}['). ok"\- ~ 1\. ,,<<,..A-I'
---
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractC'lr:A.\oi I flQ~
AddrEhs \C\I\() ?~<?,-tv\ d- /..' .
Ci t~DU rl. Phone\4"1.22[-.:)
supervi;oJ.JLicense Number ~~
Expiration Date \D. \ .",'
Constr Contr. Number t ~'\~ c.
Ex iration Date (~'~'J... ..,1-
11 Ot uperViS~ng Electrician
Ovners Name' ~1P (\ D.
Iddressc9.\CJ..'1 O\\.~~\(\ l
Ci ty ~\,L ~ rt. ~hone l%.\r.Al05
OIINER thSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------T-----------------------------
DATE: \.0 'd.4,.C{, ~ ~
RECEIPT Ii: 'i .'.",. ~ \
RECEIVED BY: "'\~ .
E.
5.
SPRINGFIELD
ELEGTRICAL PERMIT APPLICATION
Ci ty Job Number a.~oQ.~J
COMPLETE FEE SCHEDULE BELOY
Nev Residential-Single or
Multi-Family per. dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dvelling
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
Reconnect Only
Items Cost
Sum
S 85.00
$ 15.00
$ 40.00
$ 50.00 f:(L
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
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"
Branch Circuits
above
Nev, Alteration or Extension Per Panel
"
One Circuit
Each Additional
Circuit or vith Servic~
or Feeder Permi t ~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAl.
$ 35.00
$ 2.00 \t"
not included)
$
$
$
$
to~~
$:(;)
13.ct4
40.00
40.00
20.00
36.00