HomeMy WebLinkAboutPermit Electrical 1998-6-8
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SPRINGFIELD
The, following project ... aubmllt~ has ,.
Zo",ng and dooe at au lhe follP'<<llll1..._
225 FIFTH STREET apprOV~I, n require &peclflc land ,,~L'TIUCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-376~Zo~ning fY\d./JI City Job Number q r tJ b 55
OFFICE: 726-3759 , D-'(0[1'I_1
, 3. COHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTAL~ed SlgneturenM
s-'1 f Olfl:da / t \a. .."'. ",~~i~~ t ial-Single or
Multi-Family per dwelling unit.
Service Included:
~D~\(R,l;PTION
\ I)D ~~'o.~'.j.. \\Orx)
(\ JQB-DF.WU;:;?AN
~ . 't- - W 0 : 0 (\('(L
\ rn1 J) (Jf
Permits are non-tra^sferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.'
Items Cost Sum
1000 sq.ft. or less L $ 85.00 Bs
Each additional 500
sq. ft or portion ~ 3D
thereof $ 15.00
Each Manuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor A \lilt,) f ledt>~~, or Relocation:
Address /1. S u.) -:>J'''!! So{-. h'}tQmH~PS or less
.qj,ql4I1lPs to 400 amps
Ci ty r"\'\ r.\.!i.etl ~ Phone S~ 1-4,c.-:l..nq -1(/~ ~~~~mps to 600 amps
/ C'Q ~r'%b~_ to 1000 amps
Supervisor Licen,se Number / /) f) 0 ~) ""4' lft4((:'L~ 1u"lt{amps/vol ts
. :Y'61 ,U~()o~t ~
Expiration Date I[)-I-qg 'OQ4 O~ ~~~, ~(:'
c. t'eJl!il.oI<s~ ~)pcffiJl; or Feeders
Constr Contr. Number I h-L.lc... Ins'Y~a't-Wll' ~~on or Relocation
Expiration Date 1D-1-41? 200 am~s or ~~J';84'~~.t $ 40.00
201 amps to 400 ~s l' $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Signature of Supervising Electrician
a~. 0 - 1'''--1 ---
~\\P10 SA1v~(,)I\.)
,.,\
Address I~ ~\.0 '?-,v>e' 'S,\-.
City l\'\o,rL-n S Phone sq f -l..n~.,;l.l<, q
Owners Name
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~Aii~-----------~--n--\J7:~~-~--
RECEIPT I: 1,--1. n,' N~a-
RECEIVED BY: ~\.. ~'\]~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith 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 11'?l.CO
5% State Surcharge .~.~
T(}TM. ,306 ~1 ,4-~
totaL 181 ,610