HomeMy WebLinkAboutPermit Electrical 1998-7-9
. 7iu),{! . of!. <
THIS PERMIT SHALL
AUTHORfl@~~~~f,J{jg ~ ~1tV~ the follOwi
COMMENCIfflIfm's AS ~/~ land Uao ng
ANY 180 DAY PsaIO?f'.i':NDf(IfE~FOR ELECTRICAL PERMIT APPLICATION
974 77 Dat.L_~'OCS !/lI/J\rJ (O
726-3769 7 Ci ty Job Number - roU'1lfb
Authorizact Slgnature-.l) fV1. __
3~E ~n~ c~DULE BELOY
1. LOCATION o,F. INSTALLATION f
~'6'?1 <;v'i-tC..? 101 VVI/))).V .- A. New Residential-Single or
Multi-Family per dwelling
Service Included:
SPIFIELO
225 FIFTB STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LEGAL DES);RfPTION
r1 /)7_ ''I I Uf
D 2f.v1J7)
I JOB DESCRIPTION
fMU~,r or.l"",,--~ji
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contracto~~allttiV ~
Address PO ~ 441/ .
Ci ty~Wl ~hone qql2,~
Supervisor Licens~umber ?_-JLf~~
Expiration Date 10/119
( ;;,/
Constr Contr. Number_ -10"11.":7
t; /00
,
<Signature of Supervising Electrician.
Expi ra t ion [)a te
Ovners Name f(~ /LrlAJ
pt.,'
Address 2/ '0:;;- \.tv' )...'j
Ci ty ~~ Phone tJ'!{r 21#{pS-
" 9'1'1"~
OYNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or ren t.
.1).1<f.
'1
Owners Signature:
llZNrtiJl mLl1rJ U\.
-------~-------------------------------
DATE: '7-"l-"7'li
RECEIPT 11: '2:,o-i;:)~
RECEIVED BY: /.GUJ
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
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
Cost
Sum
S 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 ,amp~
Over .600 amps or 1000 volts
e.
Branch Circuits
$ 40.00
$ 55.00
$ 80..00
see "B" above
.'
New, Alteration or Extension Per pane1r::.p
One Circuit $ 35.00 Q/.1.
Each,Additional ~
Circui t or vi th Servic~, I' ,t~u
or Feeder Permit 'f $ 2;00 ,.
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limi ted Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
IIV! t,iJ/
T/'/
~.'1'"
.~~ 1-:::::
~,_.._.