HomeMy WebLinkAboutPermit Electrical 1998-2-9
. . .'
The. following p'oJect as submitted has tho follow,"
zoning, end dOGS nol require .~Ifi I d 9
llpproval. .....- c en uso
Zoning M d- V
Dstil_-Cf -1~
.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
974't1,.,-3dSlgnature Y'l1'Y\
726-3769
1. LOCATION OF INSTALLATION
C::;6~ DAr..lJA/ r
LEGAL DESCRIPTION
/7D.3 ?., ~2-
D 5'/b"f)
JOB DESCRIPJIQN _
/c5..rl.# ~
(~. )
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or H work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expira t ion Da te
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name~/k ') ~
Address
Ci ty Phone '12.3 -t'.dblJ]
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ a".[)(~p~--
--------~------T~-- ----------------
DATE:. 2-/ 7' J~
RECEIPT'lI:, r ?~~}'
RECEIVED 'BY: _ ' _~
r"" \..
.
ELECTRICAL PERMIT APPLICATION
"H~' Job Number 9~OD ~2-
3. COMPLETE FEE SCHEDULE BELO\!
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
.B. Sery.ices 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
$ 50.00
$ 60.00
$100.0Q
$130.00
$300.00
S 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
L-- $ 40.00 45""\q&>
$ 55.00 ~
$ 80.00
volts see 'IB" 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
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
~,:
I z..~
,
A:72...C
.( ..),