HomeMy WebLinkAboutPermit Electrical 1997-5-9
The following proioct &3 C11';)'T.1' or:! i'lY:l thi
zoning, .md doa:. no. r~~Jj..: ;'I~_~i;IC bm.l ,~~
,,-pproval.
Zoning (jU
97477 0"",/5-0 -11-
726_3769Authcnz>d Signctu,o-" rv1
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. \ceryAAON ce1~:rSTAL~if~N
\1't)~f. CTYlrl!
(V~ ~WPTION
ELECTRICAL PERMIT ~PLIC11ION
City_JClb..Number' yL\-\ D \q.
3. COMPLETE FEE SCHEDULE BELO\I
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~\J~ ~~')\o~~
AddreR \4\\0 Sf- ~'r ,
Ci ty -ill(\-\().~ Phone \\O\).<tits
Supervisor License Number ~~ ~~
Hj. \ .qq
Constr Contr. Number 151 q3
~. \ ~.C(1
Expira t i on Da te
Expiration Date
s~ature of Supervising Electrician
\U, tZ'<..~':-!.'
J~n:rs-Name W~UJ'N) "t~_
,Address ~\.oN \,~W 0, !'tM.t
City JMQr{\ Phone ~~I.lp\CO
O\INER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE~-----------------~~~~C\~------
RECEIPT #: AiJintm .
RECEIVED BY: \ }
~
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dvelling
Ser~ice or Feeder $ 40.0~
.B.
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
-'
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5_
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00H....
$ 36.00 ,'oS I 0 LA.I
3( ~ ~a-
_\ . O~
..:b1' ~ ~