HomeMy WebLinkAboutPermit Electrical 1998-6-23
-.
SPRit-'ELD
DEVELOPMENT SERVICES D!tMltui~jecl 89 submitted has tho folloWIng
: oin9, "nd does not roqulre opeclilc Iond UllO
,",.rovs!. I """.F
Zonina L{}...Y
225 FIFTH STREET .J _ ')?,-tt'6
SPRINGFIELD, OREGON 9f47~
INSPECTION REQUEST: 7QJi~:Z69S1gnaturo (\ tv)
OFFICE: 726-3759 NOTIC'
E: 3. COMPLETE FEE SCHEDULE BELOll
1. LOCATION OF INSTALLATION THIS PERMIT SHALL FXPlRF 11= J.I-I~
1~... (? .,Vuz. If. (I~ C e. '\~TIl9RtZED A. r<e'J R~1detttWftB~ingle or
. UNDERUHJ$.flMMiJnlS~dwel1ing uni t.
COMMENCED OR IS ~WI'M56NEBwwea:
'NY lee DAY PERIOD.
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Bome or
Modular Dwelling
Service or Feeder
~AL DESCRIPTI(W
1"1037'117-/ "].,./0(;
JOB DESCRIPTION
~~ Ie.'...v f....R...A-cc..- cI. 1-kA-T f.....p
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
.180. days.
2.
CONTRACTOR INSTALLATION ONLY
.
Electrical ContraetorL.';' f:(<(t""rtZ<e.....O
Address 1,) <30/0 d "..1.3 1.,
Ci ty '7........L--<-
Phone (, i> h -b:l ';/ j..
Supervisor License Number fbp. o;;:.,,~
Expiration Date
/D-l-<i~
Constr Contr. Number '7 r;.ry "i'
Expiration Date /2. - '30 -1 Y
Signature of Supervising Electrician
~____ ~..Ac-LL
, e
Owners Name--Pc.1( .S ~-L.
"-
Address ':)X ^ R <<..1<< H tflj Df?
CitY~/"":r~;'..,,, Phone ?y?-I'fol
OllNER INSTALLATION
.
The installation is being made on
property I O'Jn which is not intended
for sale, lease or rent.
Owners Signature:
DATE~--------&Jf;?J-j'9-~--~~---j7J----
RECEtPT #: U?O 7<''1 ii' I
RECEIVED BY: 4U' Wa,.g
225 FIFTH STREET
SPRINGFIELD. OR 97477
(541) 726.3753
FAX (541) 726.3689
ELECTRICAL PERMIT APPLICATION
8i'ty Job Number' q 60 C{2.. 2-
Items
C.
Cost
Sum
B. Services or Feeders
Installation, Alterations
~''''''',;CJ'''or Reloca t ion:
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
$ 85.00
$ 15.00
.--.$ 40.00
$ 50.00
$ 60.00
5100.00
$130.00
$300.00
5 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
New, Alteration or
$ 40.00
$ 55.00
$ 80.00
see "B" above
Extension Per Panel
$ 35.00 1.3
I
One Circuit
Each Additional
Circuit or 'Jith Service
or Feeder Permit ~ $
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
2.00
'1. ,po
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
Yi.o.v.
I. 7)
I.n
J 2./1...