HomeMy WebLinkAboutPermit Electrical 1998-8-26
.- '.C/TYO
. .
z '~.' d . SU as tho follow
onmg, an does not requIre specific lauld U~Q
approval. "'"
. Zoning. dvV
Dat~
9747~uthOfiZed Signature I) rJ\
726-3769
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
JV()&ach Manuf'd Home or
r~~lar Dwelling
rlf/S p~e-rvice or Feeder
AUr;-f, RIvJ/r S]..JJI .
2. CONTRACTOR INSTALLATION ONLY CJ' ~.?c~S1L<llf:J.eeders
M~,;ff/~ns t:afJ!/J.;P/d...?if.f/fltE;/ra t ions
Elec trical Co.1. trac torCat::Lo.dp COfV/YY1lfl1r8Ml9'l)t-; 'thEst#c~'1Jr#J3 p rifE Wo
5e't'u i(-es L., L. L. JU DAY 0 /S A8 'ERIvt/r '111(
Address q'6o "S.w. b+t-. S+. 20CY~Jnhot4~N..c-/) /SlVn1- $ 50.00
201 amps-" to 400 "'Cf:lf1p~p , $ 60.00
CitY.5Qrru,Ak'B-JS'.s Phone 4?L/-46qb 401 amps to 600 amps' $100.00
601 amps to 1000 amps $130.00
Supervisor Li,:.ense Number 3::lo$~:::rt..E ft"ll{--!2A2::er 1000 amps/volts $300.00
Iv. ~110l1t ''l:f~~nnec t Only $ 40.00
Expiration Date Ib- \- qq in Oftfic ,rUleS 'I :Ore
00 Q"l?fJ10t}'fJ-.@.~O~f;.'!l9t}~ervices or Feeders
'90. y, :s-<.~~~g~9fre~a.teration or Relocation
....CJlli OU'h "00' 1]os tIe 0 'Ires
t}UI't}6;B the"Clfb;I;ffit~;,o~TlJ~~Ot} You to $ 40.00
rfOr!. ~t111$r~~p'e {t.W7 @r.~&\ liitl/ $ 55.00
Signa~ture of Supervising E.lectrician Cet}te"'~fi:l(!llef.lflso ~ floQ.'- $ 80.00
d' ~1rl L r':J)Y..e.'flof:,r.W: ~nsther;./ vol ts see "B" above
, ./ / tiO,V 'O'til//-i. 'rel. . ...,. e .
~. ."-' ~/' ';'/JI'----. /~ <) ~ D. Branc1ia.c-~~~Z~t}eS6y
Owners Name 'willLuM CI L'.LU P 1t-"lf" \--~ ~ \-(P{'J )i~1-. ~o !tOt}
New, Alteration or Extension Per Panel
225 FIFTH STR~ET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726~3759
\!. . LOCATION OF INSTALLATION {\ '\ 1
W \DD-rfu~N<;~ ~cl Sn,,^^- ~~. l\
, -r \.J
/I o'~t(If1aJY()O
JOB DESCRIPTION
\!nicj'_ .1.- r1 a..+o c. a. fo/.' '" 1
Permits ~re non-transferable an~expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Constr Contr. Number
12.<X01\
Expiration Date
3-q- nn
Address 20() ~. J. ~ \ \ ~+ .
Gity~d..J Phone 726-433.5
o~ ~S'j['ALLATION
The installation is being made on
property I own which is not intended
for sale, lea~;e or ren t .
Owners Signature:
~~~:-Wji'i1qt:~~~-:;~-;------
RECEIVED BY:_~: ,
ELECTRICAL PERMIT APPLICATION
Ci tyJob Nwnber 9~1 0 (11 1-
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Servi~e Included:
It ems Cos t
Sum
$ 85.00
$ 15.00
$ 40.00
,.
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
-L- $ 36.00 iJAO{)U
-- ~~- oq
- .X
~~" ..
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL