HomeMy WebLinkAboutPermit Electrical 1998-1-27
.
The following prol"'" as oubmltled haa tho following
z~ning, and doee not require speclllc land uee
ai- :)rovm.
Zoning tu
9~1-d7.=:z..6
7~()l""-
3.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
37~O l,.vt.c,. i"" S7.
~~~ON t...u&cf)
JOB DESCRIPTION () I
5 ClI'U,'c <!: ~ V\ 1'0 (.
(,9 r St..J.
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.
ELECTRICAL PERMIT /r.'PLICATION
City Job Number vt ~CJ.1 ~
COMPLETE FEE SCHEDULE BELOV *
Nev Residential-Single or
Multi-Family per dvelling unit.~ .
Service Included:
It ems Cos t Sum
, A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modu1ar'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractorc:e~ ~/(~~
B'. 'Serv,i,ces or Feeders
Installation, Alterations
(/~cfr.:c. or Relocation:
') (()Q,Ctl
200 amps or less ~ $ 50.00
201'amps to 400 amps $ 60.00
CitY~4e",-<.o.(' '?7S/OQlPhoneS.91' y.3"bf, ~ 401 amps to 600 amps $100.00
. .~ ~ 601 amps to 1000 amps $130.00
Supervisor License Number ~~~~.;>~~ ~~ ~over 1000 amps/volts $300.00
//')V/2..../ ~-.:;~ ~ ~_ .P.econnect Only $ 40.00
Expiration Date fV, 7"i\ ' ~_ ~1 ~-~
( ~'~ '\:> ~mporaL'y Services or Feeders
Constr Contr. NumbeL' c;5c;IO I') % ~T('(tallation, Alteration or Relocation
/..H. 71-- 0"" el<<:: <<"
Expiration D, ate '?"~<( ~ .,.,,(, 2Qo'1"~s' 'or less $ 40.00
'% ~~d61r{la~~ to 400 amps $ 55.00
Signature of Supervising Electrician ~ '0u.el?O~01~~o 600 amps $ 80.00
bt)~ A. ~ ~ o~~ ~$'~4s or 1000 voltS see "B" above
o \ . IJ D. Bran~~~~s
Ovners Name DI'OfeJ we (T ~ 0,.>0
~q f\~~~~,~ Nev, Alteration or Extension Per Panel
Add re s s 0\ () ,fJrJ..!ll.lJ.jj.Y')
CityCoft"fje."'~f<'U<l.. Phone'Q4..9.a,h3( $ 35.00
OVNER INSTALLATION
Address P.o. &x J.';):;;O (
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DA~E~~-----ll~~~.{J(~-----=--------
RECEIPT II: ,b 1\('(\,",""11\
RECEIVED 'BY: _ m-\.~(Y __t1i-.OU \ ~
One Circuit
Each Additional
Circuit or vith Servi~
or Feeder Permit :::>
.'
$
lorn
2.00
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
$
$
$
$
/{G.ro
.c. .c::n
':\~-
JI~;GD
40.00
40.00
20.00
36.00