Loading...
HomeMy WebLinkAboutPermit Electrical 1998-6-15 . .> SPRINGFIELD ~i 225 FIFTH STREET Del - SPRINGFIELD, OREGON 97477 ~ INSPECTION REQUEST: 726_37~Zod Slgnet..rol)~ OFFICE: 726-3759 . 3. 1. LOCATION OF INSTALLATION 1?4q ff)a//1 S-l- LEGJ1~~~tJ~ 1 0 &/[0/ JOB DESCRIPTION in:51-a// ~e(u t"/+Y Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. A. ELECTRICAL PERMIT APPLICATION Ci ty Job Number q r. tJ 7/ ~ COMPLETE FEE SCHEDULE BELOV * New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor, Son i t ro I Secu r i ty or Relocation: Addr,ess P.O. Box 21009 I. 'Q 200 amps or less $ 50.00 IS;: ~ ct 201 amps to 400 amps $ 60.00 City Euuene Phone461-5678~.<!J. 'Q 401 amps to 600 amps $100.00 & ~ ~ 601 amps to 1000 amps $130.00 Supervisor License Number I(ogq 1(6 I~ ~ QOver 1000 amps/volts $300.00 ~, 0- ~econnec t Only $ 40.00 ~<V,~. 'i>c.~ ~Q~ . 'd .~_~ ~<nP ary Servlces or Fee ers W, ~n~ ation, Alteration or Relocation ~@Oo- "'" '10< 7: ~ ~~~ or less $ ~2 !~o 400 amps $ . ~v <to 600 amps $ ~.,. ~e~6 ~s or 1000 vol ts see "B" above ~ <11~?' D.~~c~Circuits ~ New, Alteration or Extension Per Panel Expiration Date /D- j- qq Constr Contr. Number 65149 Expiration Date 6-28-00 Signa~~g Electrician Renl.fl-D1r<.. Address_F14Q ffJa/n s-l Ci ty 511 ''[) Ji'e fd Phone 241-4/ O(L OYNER INSTALLATION Owners Name 6YJf.ernr(5;p The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~T~~~-----------------\[\-CS-a.:~, --- 5. RECEIPT #: ~ ' 1'...""- RECEIVED BY: \.1, I~\ ) ,. N J \J \\IJ\,j- 40.00 55.00 80.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm ) $ 36.00 ~ SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 3 ro o-v }9o /08 ..3.~. 1?'l?'