HomeMy WebLinkAboutPermit Electrical 1998-4-8
~\'\~ 'i'lO?-~ . . .
Y\ 0' r;t'. ~"''?\?-~ \'f ~~ \'2> ~o~ '
~O\ \V ?w-\~ '2>\,\p..\.\. ~\,\\'2> '?~?-~~CAL PERMIT APPLICATION,
97477 ~\'2> ,?c \j~'O~?- 'i.)O~~'O (). r/
726-3761) K\'\O?-\t~'O ?- \'2> p..'Op..~ Ci ty Job Number 7 gt5 if () X A
p..\.l C~'OO . *"
COW-W-~~ '4 ?~'a\OC\'COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION N ~I.\" Of'-
/t:I/} ft11A;/1 5 T p..~ . A. Nelol Residential-Single or ..
Multi-Family per dlolelling unit.
Service Included:
<, .
approval.. , ~0
ZOOInQ.
DaI~~ r ,g]
f>.uI~ Signature
22::> FrITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LEGAL DESCRIPTfON., ?
Residence I / 1J/)~& 3/0 7l/D I
JOB DESCRIPTION
Alarm Inst811~tJnn
Permits are non-transferable and expire
if 1oI0rk is not started within 180 days
of issuance or if 1oI0rk is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elec trical Con trac tor ADT SPienT1' tv
Address 15oUea~' c~ S,u ~-\-C r"
Ci ty Eueene, o(l..
Phone 342-1111
Supervisor License Number 949 .TLF.
Expiration Date 11/o1/Qq
Constr Contr. Number 59944
Expiration Date 4/27 /QR
Signature of Supervising Electrician
j/;(AA ~
9S-s ;JLE
D.
Ololners Name FjJJ'[r:.H /...'I/JC /lura S13LE5
Address /J?/)' /?? '" ,'.111 .<; T
CitY..2;:>r:(Ict,rlrl Phone ?Z{,-'7'72.0
,-
01lNER INSTALLATION
The installation is being made on
property I Ololn IoIhich is not intended
for sale, lease or rent.
Ovners Signature:
,.'-
~ATE~----~1i5~q~-~-----------------~
RE~~~~..lI.:,.' L va flfJY ! .
SP_IELO
"., ,
Items
1000 sq.ft. or less
Each additional 500
---sq-: ft or .portion'. -
thereof
Each Manuf'd Home. or
Modular'DloIelling
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
Cost
Sum
$ 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"ol' less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
.'
Nelol, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or loIith Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/Outline Lightin~ $
Limited 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
J,_..~~-;;I..!.I
~ f-, . !:!5'-
,. {~ '<6.S;
~/..J!J2.-
- ./.gp.~
~. "2,~.