HomeMy WebLinkAboutPermit Electrical 1997-5-19
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759 ~ AUi!i'~!i:',",.j Signatum.:.,1J M
1.
1.
LOC~TION OF INSTALLATION _
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J~~1~~7Tno~1 00
JOB Q.E.$~CRIeJ:WN '
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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 contractorJ?os~ ~rp()ra:bi07\..
Address $'9Q7G J)~ ~
u
Ci tY[:UqeV)e Phone ~-09()!5
'"
Supervisor License Number /5foB .5
Expiration Date /()! f /9fi
Constr Contr. Number 5~t.J.31
Expiration Date
1/SO/9A
Signatur~/visi~g Electrician
'/~~-
Owners ~me Q s trig ~JVl~t(YsD.
Add res,:- 1, 1/ (' (JrIf',t rf/c fj 116 t!.d-.
Ci ty E:uq erJ:.- Phone 97 ejO )
O\lNER ~NSTALLATION 4<g '1 --1/023
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------~--1---------------~---------
DATE: '.) I /1 q7:- _ '
RECEIPT #': " U ..L~~ <. +-
RECEIVED in: J\ 't.Il..LI/I -'
City Job Number
Q7020(p
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder, $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation: '
200 amps or less ~-- $ 50.00 k,LJPo
201 amps to 40~PS $ 60.00
401 amps to 60 amps $100.00
/ $130.00
601 amps to WOO amps
Over 1000 amPs/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
E.
One Circuit $ 35.00
Each Additional
Circuit or with Service QO
or Feeder Permit ~ $ 2.00 ~41
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
$ 40.00
$ 40.00 1" /J ,,0
$ 20.00
$ 36.00 -3'b dtJ
11 0,_00
S,SQ
f1 f ~()
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL