HomeMy WebLinkAboutPermit Electrical 1998-3-13
.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zonina C c.-
Oote ~-I~ -9 .;;,. .
Authorized Slgneture-Arv--
97477
726-3769
1.
L09TI9N O~ IN..STt-LLATtf d
'b"l\ \ V\ 'ill I t\) 100
/
LEGAL DFoSCRIPT!.ON
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<,
. /.....!O~ DESCRIPTION
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Permits are non-transferable and expire
if york is not started,yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractotrheA/i-~~~J
Address 1t11o 101 ~P.sr . .
citf~~~ljt( Phon~~1~lL/G
Supervisor License Number r;G'-t 3- S
10- j -C1g
Constr Contr. Number 'dI) ~~
Expiration Date \ fY I --q ~
~:1t~,:(i"' '""",i,i,"
( \..../ & .
9"'ners Name \'
/Address \a'Lf\ \-\- ~
Ci ty. <tu i\1.~ Phone 101 445
C\1cD \
Expiration Date
~f)
OVNER INSTALLATION
The installation is being made on
property I oyn Yhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
~-I~.-q ~
?."WQ4
J..~
i~~lAlCAL PERKIT t;PLICATION
City Job Number ~C(~
Ney Residential-Single or ~ .
:::::.:: :::,:~:"" ~
Service Included:
3.
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dyelling
Service or Feeder
B. 'Se~vices 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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
\
m
$ 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
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
"
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith servJllice
or Feeder Permit $
$ 35.00
2.00
~.O
not included)
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
$
$
$
$
f}{) ,CO
3.~
c{I. 1lJ. .
:.lS... rnO
40.00
40.00
20.00
36.00