HomeMy WebLinkAboutPermit Electrical 1998-1-14
SeGFIELD ..." "... "
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'oning, .nd do.. not require opoclllc land LDolnr/CE ~?
. ~p'oval. -nrv ': ~fi
zoningJtLIf THIS PER:vI'T SHAll EXP/R -
IFI /0 ^ E IFTHE WORK
Dai.~ r.IJTHORI,:ED UNDER THIS P
225 F\IjFi'lJlkeS~~ro (\ 01.- Cr,JM,.nENCED OR IS A8AND~~~TPERHIT APPLICATION
SPRINGFIELD, OREG(m-If,'"" '",'v 11' ' NED FOR a (7 (;OS ;)
INSPECTION REQUEST: 726-3769 ,O,)AYPERIOf.), City Job Number 11> ~....,
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
'1:2. c.~: r'/-I#ArA#"T ,ilL.,/).
3. COMPLETE FEE SCHEDULE BELOII
A. Nev Residential-Single or
Multi-Family per dvel1ing unit.
Service Included:
I.J,.EGltL DF.,SCRIPTJ;P,tl. 0
InJ.'ll.l1" ll"-Il'l (,
JOB DESCRIPTION
fd /(,vlC-l/ ~.qflo'2'~'"
Permits are non-transferable and expire
if vork is not started vi thin 1BO days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elecnical ConnactOL" AAI9 & /A/C.
AddL"ess ~_O- /fox- i-6"6'
City 1f-?P1"I'/./.l Phone 9'J-r:.. 4"""orZ-
SupeL"visor License Number ,. ~ I]
Expiration Date /0 - / - t:1 r
Constr Conn. NumbeL" /2./ Y'7 J
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. f t or portion
thereof
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder
B. SeL"vices or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to 600 amps
601 am~s to 1000 amps
Over 1000 amps/volts
Reconnect Only
S 85.00
S 15.00
S 40.00
$ 50.00 it1 ~
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
ij- /,. 1Y ,
Signature of Supervising Electrician
h,.~
c.- ./~
Ovners Name ,T/-'IC.uA<rt
PAl';''''' If A:
Address ~ ~6" ~#-I"I.r"",,"/T "'-f'-t//).
Ci ty ~~/Z-,~J;,4~(? Phone 726"- 7rr/
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease OL" ren t.
Ovners Signature:
D~TE~-----7-i-j~icrgf------------------
RECEIPT ~: l f) -'- Y, \fY.LJ _J
RECEIVED BY;- 'l-fVWV
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
S 40.00
$ 55.00
$ 80.00
see liB" above
Nev, Alteration or Extension Per Panel
One CiL"cuit $ 35.00
Each Add it i onal 0
Ci L"cui t OL" vi th Service ~. 9._U
or Feeder PeL"mit ~ $ 2.00 ~
not induded)'
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited EneL"gy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20,00
$ 36.00
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