HomeMy WebLinkAboutPermit Electrical 1997-7-22
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT I~ NOT
225 FIFTH STREET COMMENC ELECTRICAL
SPRINGFIELD, OREGON 97477 EDOR IS ABANDONED FOR
INSPECTION REQUEST: 726-:rl.dWtIJ.jl(M)f..'6iIilERlOO""'~-'J ,,'" t::'Cxit:y:c.Job Number
OFFICE: 726-3759 zoning, and docs not r"".;'o ", "..", ,-' ,,--
approval, I.), COMPLETE FEE SCHEDULE BELOII
1. JllCAT:I;QN OF INSTALLATION ;:o~in lA1X
'7 r -f ()t-.f!J (J~~!M ZtY. '-':;:' A. Nev Residential-Single or
-----z . <J (k--1Z::17 Mul t i-Family per dvelling uni t.
I ./6fj~fFfIf!lJ 1) tf'E)1ZoC Sizna\U;o..:..:.n~ervice Included:
/J JOB DE~pnQN qJ j)
V U.' [( "'(AI 7;,4 (' tV/klftl.:IP#f-f4!
.
~:~~~'.~ '
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTAL~ION ONLY /' ,B.
Electrical contracto/.,.lflllf;U f~ 1If;.
~~. gOXJ ~(~ '
-/'
, W~r')1)5
City
Supervisor
PERMIT APPLICATION
If IftY~
/
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
Expiration Date
~LI'~ C. Temporary Services or Feeders
Constr Contr. Number.... -r: _. .. Installation, Alteration or Relocation
Expiration Date J I '7 ~ 200 amps"oT less $ 40.00
~ I 201 amps to 400 amps $ 55.00
Signatu Jzf Superv'ri~ Electr..ician Over 401 to 600 amps $ 80.00
~ Over 600 amps or 1000 volts see "B" above
~ // I/ME. D. Branch Circui ts .'
Ovners Nam C-~:('
~ ~. Nev Alteration or Extension Per Panel
Address (p~/{ /()III) f?~lL!'(~L? '
",(/ :~ 4'1/ One Circuit $ 35.00,
Ci ty Phone'l CJ" " /1 f2 Each Addi tional
Circuit or vith Service
OIINER INSTALLATION or Feeder Permi t $ 2.00
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Ovners Signature:
;".,,;-'t,:-r;~;:7 MZLF-
RECEIPT #: . -,l'\.. .
RECEIVED BY:. ~
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
/' $ 40.00
V. $ 20.00
$ 36.00
do. (X)
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