HomeMy WebLinkAboutPermit Electrical 1997-6-13
'.
..'.
'.;,J'..~7~4:,
The. following proj::)ct as submitted I..." '"" ",
zOOInQ,anddoes no' req . '.,..st~l<";k.',,,,,,,,,
approval. ~ WIre "P&';i1IC I.;,tnd If.'J .
Zoning
225 FIFTH STREET 0,',
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726_3769i1l0JilOd Si~n"'urD
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
Ci4J5 MaiY} 'f=:,-r
~ DESCRIPTIQM \1 D~J'34~1'I7\ .
~\Ak-wM IFJII n?;.:lU)
,
JQl'P DE~JUPTION fA ~ .'
1t{.B hK. 7U14! / ~=nt-aP, r
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 ,
Electrical Contractor1kmtbr' 0pf'}y/r_
Address ,;nOI SE 1L{-f1t AvL' '
, Ci tJbrtlanf'IPhOne 2~q -q-S I ~
Supervisor License Number LfoJ.5 S
Expiration Date to -3D -qg
Constr Contr. Number 'fLfg:r3
Expiration Date 3-;( -q~
si::~7~~
r::."" 4. . - - Y;f(-
Address __ ,\S ' - ,;~T
Ci t~ ~ Phone
OYN4R~ST~LATION
The installation is being made on,
,property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
. D~TE~,--~~~---\ZJ-. \'A: ~,I', ",~;l\
RECEIPT 11." "I .', '\.\,i\\. \) )
RECElvEbBY:. . '. YJ\\..J.-(\!!5jL' .',
ELECTRICAL PERMIT_APPLICATION
City Job Number -a1nC{1.J
Nev Residential-Single or ~~
:::::.::: :~::'::~:"i'.. ~
Service Included:
3.
A.
1000 sq.ft. or less
Each, additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder
,B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 000 amps
601 amps to 1000 amps'
Over 1000 amps/volts'
Reconn.ec t Only'
G_
I terns
Gost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00'
$130.00
$300.00
$ 40.00
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 100U
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see l'Blt above
Nev, Alteration or Extension Per Panel
.'
One Circuit I $ 35.00 3S
Each Additional
Circuit or vith serv~ $ 2.00 !iK
or Feeder Permit
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. ' SUBTOTAL OF ABOVE
,,5% State Surcharge,
3% Administrative Fee
'., TOTAL ......, , "
not included)
$
$
$
$
, '<{)3 ' 0-0
, ",l{,-j-r:;:,
'., . ,2,4Q,,'
." 'i5Q ,Tn4
40.00
40.00
'20.00
36.00