HomeMy WebLinkAboutPermit Electrical 1998-3-13
.
~
. '
zonin9, :;no dOOll not requl . tho following
approval. re Specific land uso
Zoning (l (' /
08le3-1 :s--q~ -
Authorized Signature n "'^
97477 I 'I
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
kPCATION OF INSTAbLATION
':'111)\ \\!\~ ~
LEGAL DESCRI~TION D"":l..\f\O
1-1 rn_~ :''T\ LJ U
,
L JOB DESCRIPTION
-i.,.lO (\ ) ~ \ \') (\ ll\{\1I1 t-D
Permits are non-transferable and expire
if york is not started vi thin 180 days
of. issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor ~~~~
Address ro/70 0 c'!}T-f( xr,' .
Ci ty ~R....D Phone 74-7-fZJ3'
Supervisor License Number 2-43-S
Date /O-)4f.y
Expiration
Constr Contr. Number Z()-DL
10 -/-tf?J
Expiration Date
Elec t ri ci an
('f>
Address ~o1... 'I \-\ ~ . nit
Ci ty YllllX (L, Phone 1m 445
OIlNER INSTALLATION ({ti)1
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: ~-n --7::g.
RECEIPT 11': L"'~ 9'
RECEIVED BY: .~~
3.
ELECTRICAL PERMIT APPLICATION
(;lty Job Number C\~C'flJo~
Nev Residential-Single or Y4f
::::~::m::: ::~::l:::O:ni t. . ;
Service Included:
A.
Items
Cost
Sum
1000 sQ.ft. or less
Each additional 500
sQ. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
'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
/ $ 50.00 .fIJ
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see ItB" above
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith serVice, )
or Feeder Permi t {$ 2.00
21J
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
1() iP
~ : ft<l
'} F.,. (n()