HomeMy WebLinkAboutPermit Electrical 1997-4-11
. jtt-d n-s \h ~ .\: .lJ.'.
'lect as subm -i '1 I' n~ l,;...J
The 1o\\owing rvreQUif3 Specl Ie -
zoning. and d S
approval.
zonirl9--tJ.DA- q1
97477 ""Ie &-t-' I \ '
726-3769- i nalure_
AUlhorlzed S 9 ,
3.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
F INSTALLATION
~1 t .J
ON
!:AAAt"DE
I.~S,
k .JOB D!&S PTIO~ . ~ Q
P 1m, .( Y\ Q'f\ ~
perm~~s are n -trans rable a~Pire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
Expiration Date
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~-------------~-~~rr~~-------
RECEIWlI: :~. /\, " cc;r( '\ ::J (~ :<
RECEIVED BY: 't/ )U~-'-"~
ELECTRICAL PERHIT APPLICATION
qq{~\4
City Job Number
A.
COMPLETE FEE SCHEDULE BELOY
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACTOR INSTALLATION ONLY
Electrical Contract<\rA~O.1lt J flQ~
Add2)SS \C\f\[) ?___y,'\'Y\ d -,' 200 amps or less I $ 50.00 .!5~
~ rL ..., A- '7-1,.....).,. 201 amps to 400 amps $ 60.00
Cit Phone \"Tl'~.....J 401 amps to. 600 amps $100.00
\ ~~~ 601 amps to 1000 amps $130.00
Superviso License Number ~ )\~~Over 1000 amps/volts $300.00
\.D. \ .~ Reconnect Only $ 40.00
Expiration Date
lr\r\ C. Temporary Services or Feeders
Constr Contr. Number .,,' 1 Installation, Alteration or Relocation
(~'~'J- .4tL
:;~~~~ "oo,<i<i.,
jners Name . .~.
I .
ddre[:~ ) ),-ttwr
. Ci t~J..XJlA V Phone ~I' \oICO
OVNER INSTALLATION
uni t.
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
200 amps"or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
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
no t included)
$
$
$
$
.~ () CV
A >0
L.'f:Q
54 PO
40.00
40.00
20.00
36.00