HomeMy WebLinkAboutPermit Electrical 1998-8-7 (2)
eNGFIELD ,I. ...." .
The lollowlng project es submitted has the
, and does not require specnlc land usa
zoning,
approval, .
Zoning Lill..
225 FII'TH STREET Date ~- t - ~{b.
SPRINGFIELD, OREGON 97477 .l.uth 'ad Signature (\zo /
INSPECTION REQUEST: 726_3'lj~orIZ rr
OFFICE: 726-3759
3.
~_JJ(jEr t)loml11~ &--~
I ~(3~~PTIrr)G.I(
. \ . JQB....PES~.pRWN - J II, ),,{) 1) IVO~ 1000 sq, ft. or less
'-tU.:V l' \ (llll1TS ~~A V~. Each additiona1500
'UlL., ~~. sq, ft or pornon .
Permits are non-transferable andC~pYqy, ~~ thereof
if "ork is not started "ithin 1~'d'4Xi ~~O cS',y~ach Manuf'd Home. or
of issuance or if "ork is. suspej{a~ 'fO'P,s (/1'0 f1n~~ar .DiJelling
180 days. 'O01 '001:> ~-9S~~ce or Feeder
J-A "I,s % ~I,.c-
2. CONTRACTOR INSTALLATION ONLY ~~~, ~~rV'~s l'/k, Feeders
___ Ct ~ tft'Gi&rl'li'ffJ~o~QAlterations
Electrical Contractor, ). t? rf'''C+rtr ::r",C. or K~ca~~n~-t
Address '1 () L t; \ A / '_/.-' ib- JJ.- IX 200 am;;O~r ~ss
~ 201 amps to 400 amps
Ci ty ;- , " C' Phone {, )(7'7770 401 amI's to. 600 amps
/ 601 amps to 1000 amps
Supervisor License Number <;' ~7~ <;' Over 1000 amps/volts
( a/i ""'/.0.....'" .- Reconnect Only
Expiration Date Y 1/ .., x-
l
I
I
"
,
ELECTRICAL PERMIT tPJ~ON
Ci ty Job Number )(.()-1 \~
COMPLETE FEE SCHEDULE BELOV
A.
Ne" Residential-Single or
Multi-Family per d"elling unit,
Service Included:
It ems
Sum
Cost
$ 85,00
$ 15,00
,$ 40,00
$ 50,00
$ 60,00
$100,00
$130,00
$300,00
$ 40,00
C. Temporary Services or Feeders
Constr Contr. Number I () I...J q;;).. q ,-.q0-~1V Installation, Alteration or Relocation
;, ~ - /VO 0//0/1.0 '!to
Expiration Date 7' I~/'Y) ';,,,~~cC//II/e.s2lkbj.jmps' 'or less $ 40,00
~ ' 009,--'l~s'0"c.i~;;R~p. to 400 amps $ 55,00
Signatu e 0 r:SU~v~'sing Electr'cialJ.. ~ Yo 'S<"Oo~e, /C/Ilq, 600 amps $ 80,00
"lJ.'-i1/It;'g II 'lJC/ 'f%r?; IIlijn~~i-,&r 1000 volts see "B" above
'lJ6". 'lie ~ 061. ,0 'ii" :s'e flJ 1'6 :s' Yo
( Ii . r~ 0 0 c.fo"f.9.~e"/~~~~~:t~u,,~/o
O"ners NMe _ \ ~O e"'e,.eO"fi.:"~OI.~'e.so '.tj~.Q .se,/ty
I, rVi, 1\ - - rll '01' "s;;;:""u.fJi1/J;ilfBfTdo'f.?-ic'l'fl;xtension Per
Ad':}de s \( n ~)~ LA.. 'OO':Ja.1/1t'ty":~/eJJI,,'l.t/e.s" /
\1 . I\r~r One ~~rw~ O"e 6y $ 35.00
,City .,;'yulJJ." hone Ea?h A~'!J.ti~ ,
Clrcult or'"ith Servlce
OVNLR INST'~LATION or Feeder Permit ~ $ 2,00
The installation is being made on
property I o"n "hich is not intended
for sale, lease or rent.
Owners Signature:
DATE~------~~-'T~<1r~----~-~~-
RECEIPT 11: C j}, r /,\1', N\. ;'
RECEIVED BY: ~ LlY'\..:' , '
"
Panel
~_ro
d.OU
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
$ 40,00
$ 40,00
$ 20,00
$ 36,00
cJ ~. ~)(Z
I, <:5 .::;>
~t-J
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL