HomeMy WebLinkAboutPermit Electrical 1998-1-1
.
.
SPRINGFIELD
The f('l!!("'Iwir,~ proh.'; 8! ~,:..:br:'t~I"'.~ 1-.,1t '~:c foil _
z. "...><1 0008 not require apeclfto lend uao
225 FIFTH STREET a,.", "V&1. ELECTRICAL PERMIT APPLICATIj
SPRINGFIELD, OREGON 97477 . N\ 1 { 1\ ('-0/10
INSPECTION REQUEST: 726-3769 ZOntng-U-UkI . City Job Number "'\ IS ' I
,
OFFICE: 726-3759 Db-,
, . '(\ 3 COHPLETE FEE SCHEDULE BELOV
1. LOCATJ;ON OF ~~}Ar~O"Zad Slgnatura. "'\
~lOtJ ~V~ A.
UlsJ!t D~~,("fllXD
Expiration Date
Signature of Supervising Electrician
a~L. 0 - ~/'--I -"
~ \ I@ IJ SA.1\i\'s'D 1\ ..,
>l
Add ress I ~ ~u...J <., ~>C 'S -\- .
Ci ty 1\'\o.(,L,GL'> Phone SL) I ,l./.,,\..J. \~.Cj
Owers Name
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
- ,~ \r'\i
\d~-
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
~1~D~~~IO~._ 1000 sq.ft. or less
.J..,..1L\ ,.l;.WDJI.X''''O - . Each additional 500
. sq. ft or portion O~
perm'it re non- traftsferable and expi re thereof ." ..~\\ '>N
if work is not started within 180 days Each Hanuf~d'~ome or~ '
of issuance or if work is suspended for ^~\C~~HO~ular-Dwelling
180 days.' ~\.; , "c.;;~.Service or Feeder ..,1'
\\'\\<b .,1;.',.
2. CONTRACTOR INSTALLATION ONLY B:-;.;,'Services or Feeders
!,-U'.' . Installation, Alterations
Electrical Contractor A \\" IJ f l{'d{>'v<>J.o~\liI'or R~ocation:
~l(..~" ~"t'<I...'OI.l"~
Address /2 S vJ ~~ s,{. . ;[?'9.'f:. \T At \'1> ~O""". 200 amps or less
'"" _"~~~ '01 ._,. ,. 400 .-,.
City MI1~'\' .~~Mne ~ ~'i 401 amps to 600 amps -
~~r-' 'V~\){;. ,,' 601 amps to 1000 amps
Supervisor Li~~~s~~r Over 1000 amps/volts
!'-'V\Y\\J....~'f;.'ij -.Q,\O'ij. Reconnec t Only
Expiration Date,,-^~~~!~~'
\J~ \~~v" C. Temporary Services or'Feeders
Constr Contr. Nu~'ti1r I h-l\(.. Installation, Alteration or Relocation
1D-1-41?
D.' Branch Circuits
Cost Sum
$ 85.00 B5
$ 15.00 ~
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
'l'tl'lYtI1 30.6
-hJtaJl.
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~t::,
~ ..".c::
1&4./).0