HomeMy WebLinkAboutPermit Electrical 1998-1-28 (3)
!hc ~nllowi~O, p'ojvet "" o.ubmlllad has I"" following
.0.. ,11\ ...(I'.:U not roqulm opoclfIc fond uoo
'ppn;..c.!.
Zonino -f/-r
;~~~::i~~~~N 974t';'-2!L~
INSPECTION REQUEST: 726..31.6-.9 Slgnatllre-.-L2N1
OFFICE: 726-3759
- 3.
ELECTRICAL PERKIT APPLICATION
City Job Number (\~()td10
COHPLETE FEE SCUEDULE BELOV
l~gz~CAlffr OF l.NST~~ON
I
~
. A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
II ~OB DESCRIPTJJlN ., ' , , 1000 sq. ft. or less
t:t()(J It- Vf[) rf(J;fJ'12B.X: J2JJ/.1Lt , Each add i donal 500
,\ , ~ sq. ft or, portion
,J\ll( Permi ts are non-transferable and expire thereof
~ ~~ if vork is not started vithin 180 days Each Hanuf'd Home. or
1~\) of issuance or if vork is suspended for Hodular.'Dvelling'
, 180 days. , Service or Feeder
2. CONTRACTOR INSTALLATION ONLYh~OJ)1'\ ,B. Services or Feeders
. L R Brahh~~At~~. Installation, Alterations
Electncal Contractor .. 'f(7}}.' ~~, ' or Relocation:
\.Q 'tlh" ""1-
68 West "Q" St t IA. '1Z>^ &",
Address ree """" 'I?~~ ~I'l '~( 200 amps or less $ 50.00
· ,&,..~f(.S i/ttb <(::201 amps to 400 amps I $ 60.00 fd2,pp
Springfield Phone 747~~J} 'OO" ~-9)J 'f'4Oi.amps to. 600 amps $100.00
, ' AS '.{s>-'l iyAio:f'i~~ to 1000 amps $130.00
Supervisor License Number 14735 ~'b ~~~$5,1~~ amps/volts $300.00
10/01/98 . ~~~~c ~ly $ 40.00
Expiration Date ~O ~~ "
C. Tem~~r~iServices or Feeders .
Constr Contr. Number 08699 Instaiiation, Alteration or Relocation
200 amps' '01.' 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
It ems
City
Expiration Date
1 2118/9,9
1-
Si~~e of Supervising Electrician
r. - '""-- L Ad.
/ ' -
Ovners Name KRr!..- ()'HJ~
Address OlZ,& S
City5iJtiwl. Ph~ne 7,},(/SO/tj. '\
O~ INSTALLATION (tf(~)
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
D.
Branch Circuits
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
"
Nev, Alteration or Extension Per Panel
$ 35.00
$ 2.00
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~S~gnature:
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
... .
DATE~------JC~~c{~----~~; r~-------
RECEIPT .: ,d ' AJU""J \>
RECEIVED BY: 'f1 ~1/ Jr,,_)
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
MJ . N)
=<;, (J()
j, )( C>
JL, "" AI)
, .. .'
r.o fOllowing """"--"
",ning, and ~~ Gll1llllllnillbd hl:llltlo
approval IlOIIllqu/nj __ ~
, ,............UlKl
Zonlnp ~
0"'0.1 ~)'K~
225 FlITH STREET '
SPRINGFIELD, OREGON 97477 Authorlzed~-L)m
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 .
1. ~ LOCAT}jgN OF INST~.LATION
(iJ'i5 ()!lj0ltJ2ttl ~ :xJL. ' . A.
LEGAL Jl.S~PTI~ ~~ --<HL4 )
\V\rv'l ~() ()LJ DJ
- ~.
wiJ;0~1}jff~iM- ~~
1t~~~permits are'non-tr~sferable and expire
,17' if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
City
Expiration Date
Constr Contr, Number 08699
Expiration Date
12/18/98
Si~a~re of Supervising Electrician
"" !;7:" 0/ L ~2L
ovners~me Kf<t!.. /(~
Address J1~5 {j)!.W~ ~ .
CitY~vM~.lr-tUW Ihone 7Ji(,' &Olt./-
OIINER INktrALLATION (/2i.eM...tJM
ELECTRICAL PERMIT APPLICATIlf{
"j ~v Job NUJltber C\l 0 l rll!.l
3. COMPLETE FEE SCHEDULE BELOII
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular, 'Dvelling'
Service or Feeder $ 40.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
2. CONTRACTOR INSTALLATION ONLY ,~ Services or Feeders
L R Br bh I' ~ c> Installation, Alterations
Electrical Contractor .. a am,(">"S: 'tf> ~or Relocation:
68 West "Q" St. t % ~ {) -& ~ I
Address ree - ~ ""' 1l '.200 amps or less $ 50,00 SIJ .fJ()
~ ;('. ~ ~
2> .~ ~ -;:>, 201 amps to 400 amps $ 60.00
Springfield Phone 747-663tlO_ % 0 <!}401 amlls to. 600 amps $100.00
'..... 0 ~ ~01 amps to 1000 amps $130.00
Supervisor License Number 14735 ~ ".P ~ ~er 1000 amps/volts $300.00
10/01/98 -t lJ> ~ ~onnect Only $ 40.00
,,~~~
. ~ ~~rary Services or Feeders '
'6 ~~lation. Alteration or Relocation
~~~
<:tO~nms' 'or less $ 40.00
~l~mli$. to 400 amps $ 55.00
O~er~O~to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Ci rcui t or vi th Service /
or Feeder Permit
$ 35.00
$ 2,,00
r:? ~O
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
OVner~s~gnature:
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited EnergyfComm
". .
DATE;-------;.-~~~.~-------~~~~-----
RECEIPT II: ,( ~'+\~
RECEIVED BY: rNJ..Y:- '\."----
$ 40.00
$ 40.00
$ 20.00
$ 36,00
5:< ,00
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