Loading...
HomeMy WebLinkAboutPermit Electrical 1998-4-28 ,~ The fOl/owingproJect as '^ 2.on/flQ, and doeenot ri:v..~ haSttw#olJQwing approval. ""'fWlU:l8peOlfto land UllO' . Zon/np 0l~) Dated.--1,l</q ~ 9~~~~ure J1m 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. L~CATION OF INSTALLAT)\ON t U 1- fA ) p;=s+ (~~ ~ _, rff)~~I~~ON.ro\CD 13~OB )ESCRIPTf:ON, " ) II ~0n 1)0 -.J \ 5 n Permits are non-transferable and expire if work is not started within 180 days of' issuance or if work is s~spended for 180, days, ELECTRICAL PERMIT ~PLICATION City.Job Number l\~ ~ , 3. COMPLETE FEE SCHEDULE BELO~ A. New Residential-Single or Multi-Family per dwelling unit. S~rvice Included: 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dwelling Service or Fee.qer......__, Items Cost Sum $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders ". Installation, Alterations' Elec trical Contrac tot _"'R- tiJdf.r:\ Elertrl'C 'nOt. Reloca t ion: Address A5Mad,:strl 4~CH Z'L C110 -s Expiration Date IO""'-9?:>A# _ ~~'^~ C. Temporary Services or Feeders Constr Contr, N~mber ?O--m .1J.~\'c;;: Installation, Alteration or Relocation Expiration Date ID "/--9 p(J.U'HO;;:~rsHALL~JrJ200 amps"oT less' $ 40.00 , , ~DA1M '. U UND P/~~f. amps to 400 amps $ 55.00 Signature of s"upe7El!rVising t~o I2R'H/SQvfr r~~.~1,,'A~.. ~OO amps $ 80.00 /1 /J fl .; 1800/i'y 'II ISA8-4 (ffllM/~26r~s. or 1000 volts see "B" above ~ 11 PERla IVDON~ S NO, I '0, D. BrairlAvij:ircui ts Owners Name ~ (\\)<;),J '[) 0\010 ho 'f .. '., ;" . Address lot- [D e'St (~ ~{ City_~ld . phone12(j - 2~) City~-en~ Phone Supervisor License Number OVNER INSTALLATION The installation is being made on property I own which is not intended . for sale, le~se or rent. Owners Signature: ~~~~::-:~---~-----zt~~.~~-~--- RECEIVED BY' ~\~?l::; 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 so.co ,. New; Altera t ion,; or<'Extension Per Panel Miscellaneous (Service/feeder -Each installation . Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limite~ Energy/Comm One Circuit Each Additional Circuit or with ServiC}1 or Feeder'Permit .~ E. 5..SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 4,00 2.00 no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 S4.pD ,..:,} . ' I U /: l!J'L.- f)f:5 . 3 'L