HomeMy WebLinkAboutPermit Electrical 1998-2-12
.
NOTICE'
r, .
, HIS PERMIT S
AUTHO HALL EXPIRE
""... (\'Y\J\ geMM RilED UNDER TH IF TH~~CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ENCEDOR IS PERMIT 1.<: f'>t 7/ 7') 0
INSPECTION REQUEST: 726-~180DAYP IS ABANDONED C'i~1job Number V'/ . _J
OFFICE: 726-3759 cRIOD FOR
'3. COKPLETE FEE SCHEDULE BELO\1 *
l. LOCATION OF INSTALLATION
.'5~~o 1'-'\ J>.....>.~ A. Nev Residential-Single or
Multi-Family per dvelling unlt
Service Included: . . ~
Items Cost Sum
D8l
A
'fG!j a~~t1~ Q ?J 0/
JOB DESCRIPTION
~,,8:>t- C> -::::)5 ?\'-L--z...J:>.......
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
l80 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor~~~
Address' /q-jO J ~" .
Ci ty ~FL-D Phone '/4-7-ZZ)3'
Supervisor License Number 243-~-
Expiration Date ID-j.C(PJ
Constr Contr. Number ~~
Expiration Date I()-/...q~
'gnature of Supervising Electrician
/ / rJlwdJ~~
Owners Name {y\C1il ftUr-L (m~
Address f D. 60)( JLs- 23
City -tlltCHh L Phone C/l7- J- ~lfl
V
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---~1-7~~~-~~-~----~--------
RECEIPT 11: , D.4-'6'/'1'7
RECEIVED. BY: <-A 'rlihu _- .
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
. Serv.ices or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201'amps to 400 amps
40l amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Nev, Alteration or Extension Per Panel
"
\ -;"~5=
One Circuit $ 35.00 \J
Each Additional
Circuit or with Service
\ '::\LIDO
or Feeder Permi t d.. $ 2.00 v\-,
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
6Q,~
----i;/J <.. - Ll:::::.