HomeMy WebLinkAboutPermit Signage 1997-5-19
.
. . ~I
.
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
"'l'-'I-"V~I;;"
cttQC:FO~r1(-'
o (; Q
9~ ;i~~~G~ Signature n f\A
1. LOCATION OF INSTALLATION
.5?d() JYJa}1l 5+.
\--\&~ION r1 \<AD\
JOB D~SCRIPTION
; 11 +U. ilium, fA J()./I-<i b r,
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for'
180 days,
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor E)iA :J;7)~,
Address /..) If) &..ktJa:k~ pr/,
, I
Phone LJr5-s5f4,
Lf3S- ~
Ci ty !:I )(1 N -
Supervisor License
Number
Expiration Date jO--0t1
Constr Contr. Number~(P
Expiration Date-15l .~,~
Signature of Supervising Electrician
H~~
Owners Name.~" l\~ tQ'.J (/Jff(!(')
Addre_ss-4;p~ It fU:nnl
City~..., phon4th,W..:..-
01lNER INSTALLATION 1 D~ \
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
~~::::~~~~~'~~~ro. ~5~tr\
;;~~) Job Number
3, COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq,ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B,
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
$ 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 volts
D,
Branch Circuits
$ 40.00
$ 55,00
$ 80,00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting---L-
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$
$
$
$ 36.00
41)~
~
40,00
40,00
20,00
"h')