HomeMy WebLinkAboutPermit Electrical 1997-7-7
.
Zonino Cc./
0"107 -("';1
Authorized Signature, () l'V\
f) _J 1000 sq. ft. or less
~er~ Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
.,
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
11./)L~ATION OF I~STAL~ION
~ rJ. f/t1c" CA ~/'
LEGAL. DESCRIPTION~~
17[>~ :;; SL{ J () l1:2v V
JOB DESCR.l)'TION Il. f'
C; '/'Cv,'1 to {' D/'IVf'( {..c,n
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
..
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor.Cfoc.0 Uot((f'j{(dJ:<.
AddressPO,Bo<- /}(1.(}O I .
Ci ty t;VO-,(Vl ~ Phone-:;57"~3<g"/
'"
Supervisor License Number :3=::( ~ '1- S;
Expiration Date /C)/~
f
Constr Contr. Number 1's CJ/O
Expiration Date ~~
Signat~re of Supervising Electrician
11.,~ Afr/1r~~i
Owners Name 1Lc\/l WtJ
Address II tj;< _ ~tVL "Vi-
City ~~Jd.Phone 7'fh-5"t:.z /
OVNER I~LLATION
I
I
,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE~--~~:'i:?----------------------
RECEIPT 11: :.<..c, ij '(.fJ
RECEIVED BY: t/{/
ELECTRICAL PERMIT APPLICATION
City Job Number-9 7 0 qrg~_
~
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems
Sum
$ 85.00
$ 15.00
$ 40.00
C.
Services or Feeders
Installation, Alterations
or Reloca t "6:
h, 17c~.
200 amps "ri/s.8~~~; $ 50.00
201 amps-'ll~ 4'009~8. $ 60.00
401 ampi-, r61lti:oo":;;mpS'1-'lL/~. $100.00
601 amp~~jQ?1(;a~/.o?130.00
Over l~r~l2'eBtl;"s'~ "!JJ5r))J)fJ.
Reconnect (JWJUllr 'ff/~'SP.fp.b'.'f5rJ1tOEltr-
PE/f".~DO fTMtr IS
Temporary Services ~Feede~DJ:i NO.,..
Installation, Alteration or ReloP~ion
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see IIBII above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
$ 35.00 :)6,00
/
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$
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
5. SUBTOTAL OF ABOVE 35. DO
5% State Surcharge 1,7~
3% Administrative Fee I.o~
TOTAL ::?7.><n