HomeMy WebLinkAboutPermit Electrical 7-10-10
Zoning W\tiJr. r::<
.....~ '
nr.i<3JO......\O-q",-<--P-.' "
, .,;
A22'5izF-!filTH:lt'SWREET l'. f\Il i;.'--":' ,~' .,{,\)"ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747/ ~~ ~'(; ~
INSPECTION REQUEST: 726-3769 \,<() ~'+> ~O~ ,City Job Number 97/1 S- /
OFFICE: 726-3759 . ~~ ~ ~
r.~.:~ ':'-: ,,:~/ <,'~ COMPLETE FEE SCHEDULE BELOY
1. LO~TIO~ OF INST~IfT~;;:-"'..:~,~:i ,."),,, ,"::i:'/..,'), . d . 1 S' 1
. ~//?n ...-o.;-syrh ~ ,/"" ",{\>/ /,\'---' ,:,-<~ NeVI Resl entla - lng e or
.. .<.....-<::,~ ^.../:.)' {~Gv ,~~'{; Mul t i-Faljli ly per dVlelling uni t.
LEGAL DESCRIPTION i-0' ,,~~~(.' <:;)~' Service Included:
-ci ...:o'\:} Items Cost Sum
...- _"0..- v ~-
JOB DESCF,J:PTION ~ 1000 sq. ft. or less ) $ 85.00
///Cb./ hof/')L #~d. o..;/)Y[....- Each additional 500
bsq. ft or portion )
Permits are non-transferable and expire ' thereof $ 15.00
if Ylork is not started Ylithin 180 days Each Manuf'd Home. or
.. of issuance or if ....ork is suspended for ModularD'Jelling
180 days. Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
.B.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~
Address PD. Got I ~3~3
Ci ty So. u.. vy\ Phone..ft2Zrl)RE-J.]8'1Q
Supervisor License Number 2::< ;?,;; -;G,_
Expiration Date I()-I -qg
Constr Contr. Number o<60SQ3
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
$ 40.00
$ 55.00
$ 80.00
see, liB" above
,~-/g -qq
200 amps' "err less ,
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Expiiation Date
Signature of Supervising Electrician
~~#~
- .......
Branch Circuits
D.
,.
O'Jners Name~I.y(t}DYV\.DS. ~
Address 'eC\ s. ~cifiL f-\;w~ / p(), !2Jox LlSl
Ci ty yYJonYYlm;i-h Phone 5~-~~<iS-ooCjlo
OYNER INSTALLATION
NeVI, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 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 $ 36.00
5. SUBTOTAL OF ABOVE >>O~ Oe,)
5% State Surcharge ..<)~ 08
3% Administrative Fee (~ ()()
TOTAL /08);OcJ-
The installation is being made on
property I o....n Vlhich is not intended
for sale, lease or rent.
Ovners Signature:
----------------------------
DATE: lb- 10- t11
RECEIPT #: d-. -, lolS ?>
h"~nT1',.,n nv. ~