HomeMy WebLinkAboutPermit Electrical 1998-3-13
........,,;'d,........WW'VIlII.INI..U\ot...n...~'''...~T...._
approval.
" ZalIne mdV .
Del,,:>l.,I(;;[ "
~~
..
.
SPRINGFIELD
225 FIFTH STREET ~ \ ~~ PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 C~:. 'i:.'/-.'f\'r. M\~\S"
INSPECTION REQUEST: 726-3769 ~O~~ ~\i S'f\Jl-\.\. ,'f\\S 'f~t.Y ~ Number '1<60 0 ~ S
OFFICE: 726-3759 ,'f\\S 'f'i:.'r. \ \N.\)'i:.rr.__Ml'U.O~'i:.1J
. Orr.\t'i:.\) "3. ;,tj1n!l' uTE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLI\TION Jl-\l'~ C'i:.\) O'r< \
S 1'& a>1\..."'....1..iI ,"'" 'j)M\\lI'i:.~ ~~rr.\g~ Residential-Single or
J ,,\-ol:l Oil' Mul ti-Family per dwelling uni t.
LEGAL DESCRIPTION ~~, Service Included:
!UA~ l"l""!::a,,.-l.::a. ~.!.t. O,~.o J..o:r,,- Items
JQ!l DESCRIPTION
QeoG."lI . ~'''',...". ~~Q,J',l.~
.'"\.
Permits are non-traftsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days."
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor f!t/PII Glp('1~-,G
Address" 1.2 .'1J:.V. 5& 'S+r.eV:-
Ci ty Y'Y1ad (as Phone!fiJ.l-tJ75-;)I31
" Supervisor Licen.se Number I () /) I"S
.
Expiration Date ItJ-/-qfl
Constr Contr. Number ib-4(1
Expiration Date W- J- qf3
Signature of Supervising Electrician
tl-fh~~~
r
Owners Name III kn c~J)1:'0n
Address /2 SIv. 1:,(cJ dfe.e.r
City Illffd!tf') Phone-5:/l-41-r:-J2.I"Yj
.
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----~-17?-t~-~-------------------
RECEIPT ':' - I JL-iC/JI" J..- '
RECEIVED BY: -..e. r h" ..t/l..-----
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
f
Cos t Sum
$ 85.00 <Jf,~C;.-
\
$ l5.00.t IS- ~
$ 40.00
$ 50.00
.$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see nBIl
above
D." Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 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
5% State Surcharge-l".Q3
TOTAL
41!e-v.-
$ 1";.0-0 t- "3.n>
IU~.-