HomeMy WebLinkAboutPermit Electrical 1997-10-15
Zoninn 0 NOTICE:
Dole I () ~ \ s-~ -1 THIS PERMIT SHALL EXPIRE IF THE WORK
Authorized Slgnolure b (V\ AUTHORIZED UNDER THIS PERMIT IS NOT
225 FIFT8 S1'1\E&T t;OMMENCED OR IS ABAND~1('L PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 q 7 L ra
INSPECTION REQUEST: 726-3769 ANY 180 DAY PERIOD. Ci ty Job Number / J U I
OFFICE: 726-3759 ~
3. COMPLETE FEE SCHEDULE BELOV
1. J,.OMTION 01. !.NSTALLATI~ l.-
/"7<(1 mO In ~I . A. Nell Residential-Single or
. 'oH ,_".H, ,0' 'oo'Ho. 00' <. .
i "ftff1r;rJr.0~D '}),O () . Se,vice Included:
JOB DESCRIPTION ~
/1A t?,I'J 7 I< I?;r ;<'0 r> /
~ ~/K7h,ef0
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance 0, if york is suspended for
180 days. .
2. CONTRACTOR INSTALLATION ONLY
E1cetrie31 Contraetor Able Electric
Address 5511 MAIN
Ci ty SPRINGFIELD Phone 726-6701
Supervisor License Number 3023S
Expiration Date 10/01/9R
Constr Contr. Numbel' 92506
Expil'ation Date 7/16/98
S1anature of Supervisin~ Electrician
A /"7 -- --
p--rz ..,.
Ovners Name c::r:;M ffilt/J"I"",;-
. UA'??trh
Address c?' &/01 t: ,c/z..(?!',v I' r / ./
Ci ty 6f~ r/'" Phone
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended.
for ~ale. lease or. rent.
Owners Signature:
:~~:7f;J<;'T;~;1:J~~-------------
RECEIVED BY: -t:. c Tn .~
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Rome. or
Modular 'Dwelling
Service or Feeder
B. Services or Feeders
Installation. Alterations
or Relocationl
200 amps or less
201 amps to 400 amps. .
4Ul amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
RtaconnQct Only
Items
Cost
Sum
200 amps"or less
201 amps to 400 amps
Over 401 to 600 ~mp~
Over 600 amps or 1000 voits
D.
Branch Circuits
New. Alteration or Extension Per Panel
75Pg
$ !l:l,OU
S 15.00
S 40.00
S 50.00
$60.00
$100,00
$130.00
$300.00
S ~o.oo
C. Temporary Services or Feeders
.Installation, Alteration or Relocation
S 40.00
S 55.00
$ RO.on
see liB" above
.'
One Circuit / S 35.00
Each Additional
Circuit or with Service,
or Feeder l'ermi t ."" $ 2.00
~oo
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
$
S
$
$
39.t) ()
/_yj
~,/ 7_
r
fG::z,./:A.
~O.OO
40.00
20.00
36.00
1~,l!'.'lj:,>>~~,~!,~~".~-'i-'i!.';~-::IW";c:'-::r<;'-iM:.~;.w.z:;::,W~~~~~s~:,):~;~'"";~~~;:;;'~-:'c',:;:::~;:.;"S.';;::{""'\.'<iC::~ii,<.'~~~>_~,,;;";<;:<-,,,,*-~~,<~~>~"r~'W~::<:"'~W->("^1-",,,,'O
..,,~,,~i~':~:~~"""(\'&<<;*1-."~~(#:-'- ,.,,~-..-,..,v"_"'" 'k"" -'~r);.;;;,;';ii~~k...,;
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL