HomeMy WebLinkAboutPermit Electrical 1997-8-6
The following pro).
zorllng, and doesJ~~~qS~bmittcd h;lS th:l f("lo'vi;'1
approval. ~\}.7 Ulro sPGCific land u..o . ,g
. Zonj~
225 r.Lr Ul STREET 0"0 </1/ i 1'1'1 - ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974*1-~I-::t--l_
INSPECTION REQUEST: A'7'26",,3'76~f1~turo NM Ci ty Job NWllber q 702- ') 7
OFFICE: 726-3759 -
3. COMPL.:.""TE FEE SCHEDULE BELOV
1. ~r~;:~ OF INSTAlJ.4TION
-, J,f". {.- 1M 1'!)000-I1:~
/10 J ;, 532- LEGAL DESCRIPTION '/b(/:JVAr E
()I!)OtJO Sr.v,:fh)4. S+r--U-+ lJ1.1J./t/ - vS'e rvl-,
JOB DESquPTION r 1000 SQ. ft. or less
ex+eli'a c.. ,e..<..ucr .,.,,~ l,',J1+r.~v~Each additional 500
, SQ. ft or portion
Permits are non-transferable and expire thereof
if york is not started yithin 180 days Each Manuf'd Home. or
of issuance or if york is suspended for Modular 'Dyelling
180 days. Service or Feeder
Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
A.
Items Cost
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
Installation, Alterations
Electrical cont,r actoiJf/,.()~r:Io.Jf't/L~~e 0 or Relocation:
Address ;J.O. &0I1Y ,.,y/S7) ,200 amps or less
I " 201 amps to 400 amps
Ci ty ./'//tf1,rZ4~ Phoner5-0'-hf?-,,2.3w 401 amps to, 600 amps
." I 601 amps to 1000 amps
Supervisor License Number ,i~JVo?,~ Over 1000 amps/volts
Reconnect Only
Expiration Date
//)-I-"Jrf
$ 85.00
$ 15.00
$ 40.00 '
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number /2/J-ld.r-e'.,
Expiration Date II) -/ -97
Si~~ o~~~ Electrician
1/--;:;;# (JzLLJ
Oyners Name () Q( c)"\
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ -I
55.00 _,
$ 80.00
see "B" aliOV
Address
Ney, Alteration or Extension Per Panel
City
One Circuit I $ 35.00 3S'~ .
Each Additional
Circuit or yith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not include
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
Phone
OWER INSTALLATION
'\
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Owners Signature:
------------------7.---------------
DATE: C};/ 6/'1?
RECEIPT #: '''2-(P'1'/;I-; /J.... ,..,:7
RECEIVED BY: $ /L...-v1
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
3,)~
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