HomeMy WebLinkAboutPermit Electrical 1998-12-30
In. fOllowln .
zoning, and ~ prOject as sUbmitted
apprOVal. oe. nof requ/.. 8pec"~,%~';;' ;:'OW/"" ~
Zo . J.It, / ELECTRICAL PERMIT APPLICA~
97...477 mng_ L.--{L V n 14
7'2ll' <7(,rJ?-/];.o..J1'6 - City Job Number VI.~
AuthOl1zed '
Slgnatu.. -llf'V\ 3.
1. LOfjJ~~F~T~\r;~~L
\1\GA~9.:t~()Q~
1\ JO;D~~TI~N - ~ -3lq{:{Ef
11'.t-'o 0 nl'o~ ~
per\J~s are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor beOo-'N~ 'i-\e~R..;c.
Address f O. \)O?,- ?-.~ ~~
City ~,^')eVJ<(' Phone ~s<5-t;~O>
Supervisnr Li cense Number ~ ~ I q '>
Expiration Date 10-1. 0\
Cons t r Con t r. Number q q C;-j q
Expiration Date b -?.O - OC>
Sign~ ~su:erviSing Electrician
Owners Name (llln~ ~ D.
Address f)~D ~ net AJ.V.
CityW~ -Phone....~
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: /2.. ~ ,~~
RECEIPT 1I: ~:2~";??
RECEIVED By': /~~" _
'l"
COMPLETE FEE SCHEDULE BELOIl
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
1000 sQ.ft. or less
Each additional 500
sQ. ft or portion
thereof
Each Manuf'd Home, or
ModularD\oIelli~g
Service or Feeder
Items Cost Sum
$ 85.00 85
...~ $ 15.00 ~n
,$ 40,00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
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
Re20nnec (' Only
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00 4h
$ 55.00
$ 80.00
see nBlI above
Branch Circuits
"
New, Alteration or Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE '.
5% State Surcharge
3% Administrative Fee
TOTAL
$ 2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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