HomeMy WebLinkAboutPermit Electrical 1997-8-28
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. \~fQ~re1?'r{t)s~~LATI"k&o+
\~ kEG~. DESCRIPT~
' 'U-:')'~.Q"b~O
~.
JOB DESCRIPTI
ermits ~::ln::_trans
if ~ork is not started
of issuance or if ~ork
180 days.
rable and expire
~ithin 180 days
is suspended for
ELECTRICAL PERMIT ~~LICATIr/~
Ci tyJob Number U(\ \1 ;.{)-J
3.
*
COMPLETE FEE SCHEDULE BELOV
A.
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'D~elling
Service or Feeder
Items
Cost
Sum
$ 85.00
'$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
\ II\Y . '(). J'\ +Installation, Alterations
Electrical Contractor"-l' P(l?-W ,~~\W'( Ueo or Relocation:
Addres's \)() ~ \,\ \ '~ " 200 amps or less \ $ 50.00 m
\. '^ \ ~ .,\ l410 ^t'\AC) , 201 amps to 4.90 amps $ 60.00
City.ll' \wf\/\ P Phone 'lVTD 401 am"sG~~ amps $100.00
'J..'J.() Q. 601 a.JjIJ~~\\.to JJ!f.iO amps $130.00
Supervisor License Number -J~lD~ _Q~YOQ~a~ps/volts $300.00
\~ \ C~. ~\.\.~c~'1"~ $ 40.00 _
Expi ra t ion Da te \)'. ,'l''t~ }.~ Sy.. G~ ,y..~ a~rc.'V
\ ^t;:..~ ,?'i:-fi" ~'V'1''''~L'y Services or Feeders
Constr Contr. Number~, .}.^), 1'y..\S r.,P.\trc.'V a,?-lbiStallation, Alteration or Relocation
~IjW' Crc.'V \a\)'
Expiration Date ~.\~. ~~~~rc.~ ~'{'?rc.~UO amps"or less $ 40.00
I.J~ ,~'V 201 amps to 400 amps $ 55.00
Signa/lyre of Supervising Electrici~'{ Over 401 to 600 amps $ 80.00
;'i '//. .,' Over 600 amps OL' 1000 volts see "B" above
;J 11 /".~
,/ -, I."{\M r 1\~1r\;", D. Branch Circuits
O~ners Name~ . \ ~J~
1 C'l...r..I1~ Ne~, Alteration or Extension Per Panel
Address Q~c) (~)
One Circuit $ 35.00
Ci ty Phone Each Addi tional
Circuit or with Service
or Feeder Permit $ 2,00
The installation is being made on
property I o~n ~hich is not intended
for sale. lease or rent.
Owners Signature:
~~~E~-----~~~l1~--~-------f\------
RECEIPT h: . ~~ (1"'-..
RECEIVED BY: 'r}.JjJJi-.-' _ -
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'
not included)
$ 40.00
$ 40.00
$ 20.00'
$ 36.00
-41~
1.5&3
1'\4