HomeMy WebLinkAboutPermit Electrical 1997-5-16
SP.'IELD
The following project fte r.ubmfttod /"1"'<'; th'":'l f:l'!:i'.','l!1i
, zoning, and does not requ:re c:;>cciflc I~nd U:')
approval.
225 FIFTH STREET gJiniOO ~ U
SPRINGFIELD, OREGON 97477 , t=:;111" 1(1'1
INSPECTION REQUEST: 726-3769)mo'-l~ City Job'Numbe~
OFFICE: 726-3759 Aulhorlzod Slgnalura {\ (VI .._-
r COHPUlh FEE SCHEDULE BELOll
1. LOCATION OF INSTALLATION
c.jh.f~ tvt 4 /J
LEGAL DESCRIPTION
/702 1'2 4' '2....
t!X) ., (7!J
JOB DESCRIPTION ~
..lj Pal S'6<I//C!.../=,
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if work is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Address '$33 '2 s;.
~
I..J2..VL-L L")/~/)
Ci tri.,go;/.J~ t..<--- Phone
Supervisor License Number
,0f;-- <'.1." / ~
3?..2...&"S
98'
Expiration Date
I"
1
Conser Contr. Number 62.377
Expiration Date 11/0 I /9 P
S. f S '.!. E I ..
19nature 0 uperv1s1ng iectr1c1an
r'~ v?-/~
Ovners N~me;r-~ 6;' a-c/ ~C? [Y'
Address I
City Phone
~
OllNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
-----------------:=)j--~- --------------
DATE: "?/ (/~ 5' 7
RECEIPT 11:. 2....?;"Bt'?
RECEIVED BY: . tP"/;?'.f:...-> ,
ELECTRICAL PERMIT APPLICATION
. A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
B. Services or Feeders
< Installation, Alterations
Electrical Contractorc}../~;' """ n~/L J<:i..MrR(.!l..T Relocati?n:
R./
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder
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
CJ 7t<J 776
""" JJf
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
~$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
~.6J
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
"
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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