HomeMy WebLinkAboutPermit Electrical 1997-7-31
,
TH '
IS PERMIT SH. . .
AUTHORIZED UN 'ALL EXPIRE IF THE ~
COMMfNCED ORDER THIS PERMIT IS NORK
ANY 18 IS ABAND OT
225 FIFTH STREET 0 DA Y PF=J:J ONED Fn ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9741J'liollowingllll9aassUbmittOdh'~~.fo::vwing' n
INSPECTION REQUEST: 726";3~7.6'91 dOGS not roqUlr. SpOClhc lono uso Ci tyJob Number \.VI f]\lliL
OFFICE: 726-3759 ""e ~.u,. \ ~~ *
Zonin'\,J'>.' , COMPLETE FEE SCHEDULE BELOII
1. W~ATION OF INSTALbMI,\JtL/7-=3J~7
li-\\.Q~ N'\.Dif\ -~.t(\ - A. Ne;; Residential-Single or
- AUifloriZt,,-dSignatuia-.8L,~ MIll ti-P;lmily per dwelling unit.
\,.l.!>~ DE~CRIPTION ,,1\ Service Included: Items Cost Sum
' IlF .4,......,<:::::,q-\ (~YKr,( JU_
~--
ll'1\ -l<\B DtSCRIPTION
V\ \\A\ },Q ..Ir\ 1\ (\lL_
Permits are non-transferable and expire
if ;;ork is not started ;;ithin 180 days
of issuance or if ;;ork is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .D;;elling
Service or Feeder
$ 85.00
'$ 15.00
- $ 40.00 ~
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
\ \I\Y . ~. }\ -l-Installation, Alterations
Electrical Contractorl\J.' p(l;z.~f' ,'l\ \\1f'( Ueo or Relocation:
Addres's \)() ~ \\ \ - , . __ 200 amps or less
City~ \\Pnli\\p Phone l4\o~. 2g~ ::~~ ~~~gg ::~~
. . ":l.. ':l,() Q. 601 amps to 1000 amps
Supervisor. License Number ~~lD~ Over 1000 amps/volts
\ \ (\ r\ Reconnec t Only
Expiration Date \)"VI" J .
\ ~ c. Temporary Services or Feeders
Constr Contr. Number Q. _, Installation, Alteration or Relocation
Expiration Date ~.\~. <& 200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Signature of Supervising Electrician
If / /1-J(^,-,~)
",,~,;, ,..<t ;A'll.JO ~<; ~
Add ress \ 'ZJ 00 l t\\f\ 0 {\ _
cit~~i~ . . Phone 1\\n.\&l1
~STALIATION
The installation is being made on
property I o;;n ;;hich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~--~:-2?-j=-~-~-------------------
RECEIPT II:.- -2f82/h
RECEIVED BY: 1M
D.
Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Ne;;,Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or ;;ith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL'
$ 35.00
$
2.00
not included)
$
$
$
$
4r._~
'.2n
43.U)
40.00
40.00
20.00
36.00