HomeMy WebLinkAboutPermit Electrical 1999-8-16
A. New Residential-Single or
Multi-Family per dwelling unit.
Se1~~~jvIncluded:
fOiJow'-,; I JON.'Ore Items Cos t '
NOtifiC8ti Wes adOD gOn Jaw re .
/f!OJ;J.91.~/{lOn,",1fo~e'1!€Ej~h _qUires ya 85.00
OiF@G";,,'a';fd~l\!i,~li~Ihli99 r~J ~1f:Jgon Ut~~O
'~f Cf.;:rnQfoB~r:rt1l!Qt:lu esa'rese /fly
nu!;liQBeMcfJl)1 lam COPi~h OAR,QC'e~Ollfi. 00
Ea'eWrAlrtj,ll! ~t.H'6'1!,fre'~j." v{ lhe r 07,
ModG1l!.l6rR~1lg.1.~~ '. .ne leleph Ules by
Service or1'F9!}.~tjltlYNotil;_~O?1$ 40.00
':!'23~llon
2. CONTRACTOR INSTALLATION ONLY B. Services'or Feeders .
f\ 'J. . Installation, Alterations
Electrical contractordJ;,tlfYi~1I ?,lfl',h-onU;y-or Relocation:
Address P. (), ~ n y: t./~t/i . IVO"j:flj:j amps or less . $ 50.00
'lJ.(l 'Mi~mps to 400 amps $ 60.00
City ?'u~l'n> Phone '1gl/-9{)7q"AU'S~mps to 600 amps $100.00
~ ~~/to 1000 amps $130.00
Supe1'visor License Number -5~:?/'JLF C0lir11ir16 ~lj.t.~,q~Olts .......: $300.00
Expiration Date /0 /qtj AN'y780~~fJAIS~,::!!!,:~~~E~vOAk $ 40.00
I c. '!'elnp'~i -:reV(Jj!jfr,'1-tJ"ofSKtfl.,~ders
Constr Contr. NU,ber tf'irltl'" Ins ta'lW.ion , "J\'l:'It~'oh' or Relocation
Da te 'II ()O 200 amps"oT less $ 40,00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps 01' 1000 vol ts see "B" above
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
,?,9 0;,,1 O//!.h/Jrd
j /.1../7 -' '
Jl.Fftjt"l~r;z,o~2 7 0 0
JOB DESCRIPTION
-;""",r/I-<f / &/ru' nd ? /7~rqr"
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ing .
rlcian
S'
Name~/ A /-If)I11.P~
Address P. f) fJJ~ v 7 t./ Z5
Ci ty ~d? -" tJ I'~ Phone 7<1 t./ - u,t-. 0
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
/
DATE~==t?-1-1li--I~~~----~----------
RECEIPT h . 1- ~ n <.'-. L'l<
RECEIVED BY:. 'y[/\ 1A..- ~
ELECTRICAL PERMIT APPLICATION
City Job NUlI1ber9q (iOcJS
3. COMPLETE FEE SCHEDULE BELOIl
Sum
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 ---1..- $ 20.00 2.0.110
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~0
57. S ta te Surcharge 1.1-/ Q
37. Administrative Fee . JpO
TOTAL '/1..,0(1')