HomeMy WebLinkAboutPermit Electrical 1997-10-10
.' ~r
. ,
,. .,~.",y'
lit'
~(=t,," .
. approval. ~'t-
Zoning "{'{\(t f ~<<., ~a ~O'\
Date_\-O-I~ ~~~{<:$\SOf\(.
AWlorlzOOF~ature . (\ rJ\ ,<<.,'P p}<() <~~ <(
'ZZ':> HFI STREET' G. .},,~\,.\,. '\~ O~v
SPRINGFIELD, OREGON 974U\.V"'.~,\ S" ~~<<.,f\(. c.?;~~\J
INSPECTION REQUEST: ~j7t~ ~ '-0 ~ ~
OFFICE: 726-3759 .~S~ ~1,<() Of\(.'\ f'\~'
,\'p ~a ~<<.,~ ~v 3. COMPLETE FEE SCHEDULE BELOW
1. LOCA~~ON OF INSTALU~~<<"~ ~ ~<()
~/;;2C7 ~"-5~~'7IA9-~\) . A.
V - ~ ,-
LEGAL DESCRIPTION "t-~
JOB DES"GRIPTION
/1 ./ r/.AJ A 1"7 us:. t:.. :/'?'JI ~ U.-/ /~
U
Permits are non-transfera~leand expire
if york is not started vithin 180 days
'of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~~~I~
Address PD. Got I ~3.;{3
Ci ty So U. V'Y\ Phone1i23-l)U)-J./8~q
Supervisor License Number .-:J::< ~,::J -;t:;_
Expiration Date
lo-/-qg
C. Temporary Services or Feeders
Installation, Alteration or Relbcation
Constr Contr. Number oSoSC13
Expiiation Date
.~-Ig--qq
Signature f Supervising Electrician
~4~L A?'/~-~
Ovners Name~~f.yt" tbrvus ~
.Address 16<:\ S. ~c.iflc.. H:wV\ / pf). ?"t5X L/Sl
'--"
. Ci ty mOYWYlfJlJi--h Phone 566-K~<i$-DO~1o
OYNER INSTALLATION
The installation is being made on
property I own vhi6h is not intended
for sale, lease or rent. .
Ovners Signature:
---------------------------------------
DATE: /D-/O - 97
RECEIPT i: :2 7 &4 7
~
"""....,.\.,T,."nf"\ nv.
,
f
4
City Job Number
ELECTRICAL :PERHIT APPLICATION
qj //6/
Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost. Sum
1000 sq. ft. or.less $ 85.00
Each additional 500
sq. ft or portion
thereof I $ 15.00
Each Hanuf'd Home. or
Modular .Dvelling
Ser~ice or Feeder $ 40.00
~. 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
Reconnect Only
200 amps' "OT less .
201 amps to 400 amps
Over 401 to 600 amps
Over 600 'amps or 1000 volts
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
E. Miscellaneous (Service/feeder
-Each installation
.' Pump or irrigation'
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see, UBI! above
,.
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~OO
~. 00
-:l,. rJ n
/~OO-