HomeMy WebLinkAboutPermit Electrical 1997-8-20 (2)
NOTICE:
THIS PERMIT SHA
AUTHORIZED UN LL EXPIRE IF THE IAELE~CAL PERMIT APPLICATION
974ZXJMM DER THIS PE rvUHK' q ":7 77~
72~-376fNCEDORISABAND RMITlS~()ffyJob Number /()3 U
NY 180 DA Y PERIOD, 3. ONggj;9!iTE FEE SCHEDULE BELO\I
1. ...t.OG{\'.t;]:.ON 01 r~LAJI~ '
.J....L ......,n ~ 7}etJ,Q; fr A. Ne", Residential-Single or
A Multi-Family per d",elling unit.
t ifjtf3 Dfw,ffl) 1-00' Service Included:
,::~ .~:~:,
",ithin 180 days
is suspended for
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
b \.1 CI "'+'1rc Installation, Alterations
Electrical contractor. p\ lS\{)\( l:"> (\00~ or Relocation:
Addres's~ 0 pf\ \ ~lDc1. 200 amps or less ,
c-. I1hr.l 1~(1., 201 amps to 400 amps
City LA JC1Q1\O~ Phone l-rt,~ 401 amps to. 600 amps
~ ~~~~C 601 amps to 1000 amps
Supervisor License Number ~~J:) . Over 1000 amps/volts
\1'\. \. D. C2,r - Reconnec t Only
Expiration Date \ \ . I fl
Constr Contro Number \\IJ...~_
d- - <;\ -0, CZ\
followin
ing, ansi. doas n
,rov.L ~V
Zoning
to . ()
Ihonzed Slgn'!l!5-FrP'rti- ~K.t;r.L
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
\.
mits are non-transf
rk is not started
of 1 suance or if ",ork
180 days.
I
Expiration Date___.c)' "
f Supervising Electrician
~~~,,~
. ,...., ,,/: ---
0", e Name t:.r I ( CUM J1 U '
Address 12$ 0 /) L/Yl Dr-if L-
Ci ty~) PI c.( Phone
O~R ~S~ALLATION
The installation is being made on
property I o"'n ",hich is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT #:
RECEIVED BY:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
ModularD",elling
Service or Feeder
C.
Cost
Sum
$ 85.00
'$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
.~o.oo
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
$ 40.00
$ 55.00
$ 80.00
volts see.fIB" above
D.
Branch Circuits
Ne"" Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ",ith Serv~e
or Feeder Permit ~O
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting-----
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00 40,00
not included)
$
$
S
$
qO.OO
Lf, ., U
---.-.-!..J. -IU
-Y-7.'i 12.
40.00
40.00
20.00
36.00