HomeMy WebLinkAboutPermit Electrical 1997-6-24
.
.
SPRINGFIELD
'"
The following project as t.ubmrttad has II \:1 lIowlng
zoning, and does not require specific IOf'ld usa
approval.
225 FIFTH STREET Zoning (1(' /
SPRINGFIELD, OREGON 97477 D~~k)~~
INSPECfION REQUEST: 726-3769 ,I /J Ci ty Job Number
OFFICE: 726-3759 A~i!1ofizcd Signature I'W.
I~-\-'"t '\ 3. COMPLETE FEE SCHEDULE BELOI.'
1. LO<;l!TION OF ~l'lALLATI~N~ U }
~"o,CJ \. A''l~),~Ot- A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
LEGAL DESCRIPTION
\\\JA?~.<\\ ()\o,()()
LO~DESCRIPTION .
<\uu.~ d.. \~ (\U\(\l'll!n
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
Expiration Date
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
~~;~~-----C;-~~~4------------------
RECEIPT iI: ^ ~\(jm
RECEIVED BY: d.~~ ,
SbECTRICAL PERMIT APPLICATION
Qfl nc::\5\
*
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home,or
Modular 'Dvelling
Service or Feeder
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAl.
2. CONTRACfOR INSTALLATION ONLY ,B. Services or Feeders
\I -.J. Cl ~ Installation, Alterations
Electrical Contract~'7\\V.v\ ,( 'O..e-L.o or Relocation:
Add:5SS \C\I) () ?~~'"" 8- {,. . 200 amps or less
~ r/J t A:-1 /]'11--:1.. 201 amps to 400 amps
Cit. 1 ~ Phone ~ ,.~ 401 amps to. 600 amps
\ ~--.....~ 601 amps to 1000 amps
Superviso License Number ~~\~ Over 1000 amps/volts
~D, \ .4~ Reconnect Only
I f\ r\^ C. Temporary Services or Feeders
Constr Contr. Number \,~. ,,-, . Installation, Alteration or Relocation
Expiration Date (~.~~ 200 amps' 'or less $ 40.00
^ ' 201 amps to 400 amps $ 55.00
,S~Ji1U~~Of superv~~~:~ El:ctrician Over 401 to 600 amps $ 80.00
,l)j 1b l..1__ll}(/v;., Over 600 amps or 1000 volts see "B" above
fi wner: Name~YYll" .~~ D. Branch Ci rcui ts
Address-.J\qr") f)V'lU~~iC') Nev, Alteration or Extension Per Panel
~ One Circuit $ 35.00
Ci ty _ Pho .lrUltf) Each Addi tional
Circuit or vith Service
o STALLATION or Feeder Permit \~ $ 2.00 ~
I terns
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
\
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
lill.....
not included)
$
$
$
$
0.,0 !b
<\ . 'SO
~()
l\ '\ .~()
40.00
40.00
20.00
36.00