HomeMy WebLinkAboutPermit Electrical 1999-7-13
.
SPR.FIELD
Tho fOllowing pro..
.~vnln" ana dOEl~ cr as SU~mitted has the fo/ .
a~j.JtoVE!l, not reqUIre Specific land ~~:Jng
225 FIFTH STREET ZOning vD f?r
SPRINGFIELD, OREGONe2.7477 , -"kin t:O IA/ -
INSPECTION REQUES1; 726-3/6'1 . . oVl-.r
OFFICE: 726-3759 o.nu",,"O Slgnalure Yhrf.
I U ~.--COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
alo:r. fl14ltJ 1:1."
AI 'uvAJ... PESCRIPTION
1-'1'Y:1~I:3S 41 (Y? 7aL:>
THis PERMIT SHALL EXPIRE IFTHE WORK
d8~lWh~IS~flil~)J'.I~NOT
-~Ml:~N[)UN"I:Uf.UH
P~ql\QWWjDeRK5l!jansferable and expire
if..yorK IS not started within 180 days
of issuance or if work is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor )(lL)~ ~
Add ress ~ c.i?.Dl...KF--R IW
Ci ty ~ Phone -.kW:- 17~\
'-'
Supervisor License Number iSK()5~
Expiration Date /O/c:> (
Constr Contr. Number 1(')?cJ /'7
Expiration Date Ie..Jcy ~
Signature of Supervising Electrician
~,.(?fr C?
Owners Name ~ ,~u \\ ~\,~ ~o.r ~
Address ~~"S ~'('\
CitY~H\""'r~U Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DA~~7~:TS-=Oj-C)----------~~--
RECEIPT #: (
RECEIVED BY: (l. (Yl (lH~a(' 0
ELECTRICAL PERMIT APPLICATION
City Job Number q q 0 K () ;:}.....
New Residential-Single or
Mul ti-FamilYNp.er. dwel' inl[ IIni t
S f-\ I I E'f 'l\i ;r::1,j'9ul' ,aq-, ,oqU,nlS yOU ,
e rYolfot ru~5~ gl1cr~l~d by tpe Oregon ~tilit
Notification Center. Those fffi~~ are s"P. h
10(r)'\'P~~.~f-:Ogl.C:PJgJhrough ~AR:,9%9AO.
Ea2A91ldaCi1t jT'o'Iiaq.bt5'lf0co",~o v; the rUles'By
sq. Cf!tin8ihp61.''il1f'on(Note: the telephone
th€t'e'(/:f,3r tor the Oregon Utility NotYicr.lifW<)
Each Manuffe\lteSblli'el'8fl-,j,j<<-<<,j44).
Modular .Dwelling
Service or Feeder
A.
,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
I . $ 40.00
<q{).CJ0
$ 50.00
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
dt) . c)O
, ,:,l - (')0
/ .3-8
q~.~
40.00
40.00
20.00
36.00