HomeMy WebLinkAboutPermit Electrical 1998-4-13
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22~u'ffn8 STREET .~O V~ V~ '9(( ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 0", ~O V~ ~-I:o qd' ,j
INSPECTION REQUEST: 726-3769 }-,<)~ ~0 19~ 1f9~ City Job Number 'b 0,,3/
OFFICE: 726-3759 ~O "'& v.s>,O <<-,h.r
V '91-'d' ~O~TE FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLATION 'V1l ~)' '1-0
/1.{, P,h...,u.. ~/c.......~ e....{' f- . A. ~<:l-le~~s~ntial-Single or
, M~ti~mily per dvelling unit.
Service Included:
LEGAL DESCRIPTION
11 () 1, as ?, I ~ D (oSrJ7)
J9B DfSCRIPTION ~ ~
'f/lo'l..",,1.'d 5Jfk-'I.',:" ~ ~'.
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractorl/()f f'~c..vtt.~
Address I ~"I ,it?,.'^~ ( ~ / C,~I" tJ:
CitY~.e- PhoneJ't'Z.-fff1
Supervisor License Number ~ o)"} oJ L E:
Expiration Date j tJ J ,19 <j
Constr Contr. Number ;)..(2. () ~ Ct. If:
Expiration Date
Signature of Supervising Electrician
.d~~
D.
Ovners Name iJ:..../;e-." -r-&.LDu.#-t. "...~
. .
Address tlt~ f.Ovc.rlA f...,./4./_ ~..s-r
Ci ty FfJ/l.: ~':" -f'CT. tv{ Phone 1.:U~ (~
O\INER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
....-
---------------------------------------
DATE: 4- J~v<=tq;,
RECEIPT #: ~J./lD'"
RECEIVED BY: ~.J
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Mqnuf'd Home. or
Modular'Dvelling
Service or Feeder
S 85.00
$ 15.00
$ 40.00
.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"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm --1-- $ 36.00 J'~
5. SUBTOTAL OF ABOVE 't' ~~
5% State Surcharge --L-'
3% Administrative Fee \, ()9
TOTAL ~g.~",