HomeMy WebLinkAboutPermit Electrical 1997-8-19 (2)
2. CONTRACTOR INSTALLATION ONLY B. Services or Fe'eders
-:) \ ~ I, I Installation, Alterations
Electrip-\ conf-!;actor'K\CoQ.,lAD.Aff.. C-uuruL. or Relocation:
Address Iv--!O. ~'X L5) L. ruG. 200 amps or less ., \O~ 50,00
PI I L Q 201 amps to 400 a~~~ ~~~ t .,l\,60, 00
City ~6- Phone rvc>1'Z7Cjr..- 401 ~ps to 60Q."I..\llWS' "'>1\~\'o~00.00
,/ ,/(' ,.PMGltps l2.'?\~~.~t" "O~130..oO
Supervisor License Number /~:s~~ ~~~~~@ a~~~~1:~O~~V-1 $300,00
I 0 I /'Jo...~SOrl1i~ttO<OO.y~~,o~~ $ 40,.00
Expiration Date "'-"IU ~,.'>(\Of?l, r:.(\O'?>-~
=it--/! CI C. 'lle~.R~~~e,l;;~~~ or Feeders
Constr Contr, Numbe~ ,;,LSB-[ I~I~~~r-Alteration or Relocation
Expiration Date (014;:/' er6 ..' '''20~mPS or less $ 40.00
$ 201 amps to 400 amps $ 55,00
r-.. S gnature-~"~___,ssuulfr rji ::. i\n'f\Elec~i,lcian. Over 401 to 600 amps $ 80,00
____.... 1. ~\v~<'l..V\.-- Over 600 amps or 1000 volts see "B" a'6Ci'Ve
I ,. \ ~ D. Branch Circui ts
Ollners Name\.-U.~ ~ -.j~\e. f)~ .
!\r, \ Nell, Alteration or Extension Per Panel
Address 0"\,1- 0L.uw..f10
City ~~\J:i I Phone -:;t.!b,b10C;;-
OVNER INSTALLATION
v
.
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. MlC..4TION...oJ' INST~LATION
{;7iO /H~ S1PeeT
J :M2::?~z.r;rIOCJlq iZJ
::> J~ DESCRIPT:r;..o~ ~
'LP1>T\a'lt"'\lll-^. ,(J c::!l1lTl On
Permits are non-transferable and expire
if Ilork is not started IIi thin 180 days
of issuance or if Ilork is suspended for
180 days,
The installation is being made on
property I olin Ilhich is not intended
for sale, lease or rent,
Owners Signature:
---------------------------------------
DATE:
RECEIPT j1:
RECEIVED BY:
5?~ /9" l' ;7
'7'7/'2.&>
/A~
, ,,;
225 F/FTH STREET
SPRINGFIELD, OR 97477
ELECTRICAL PERMIT APPLICAmTn.'541) 726.3753
FllX"/541) 726.3689
Cit~ Job Number qq.o=t8S A
3.
COMPLETE FEE SCHEDULE BELOV
Nell Residential-Single or '*
Multi-Family per dllelling unit, '
Service Included:
Items Cos t Sum
A.
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
$ 4.0.0.0
{./'
$ 35,00
'75:,'AP
One Circuit
Each Additional
Circuit or Ilith Service
or Feeder Permit ;?
$ 2,.0.0
<y:"<'P
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,.00
Sign/.outline Lighting $ 40,.00
Limited Energy/Res $ 20..0.0
Limited Energy/Comm $ 36..00
5 . -::2.::7, -p
SUBTOTAL OF ABOVE ~/'
5% State Surcharge /. :JS'
3% Administrative Fee / -/?
TOTAL Q2./.:2.