HomeMy WebLinkAboutPermit Electrical 1997-12-29
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DEVELOP~N S~V/CES DEPARTMENT
I 225 F/FTH STREET
h Zoning_ _ eJnl2uBiS pq'"""'I SPR/NGFIELD, OR 97477
D'l~ -'?VI / (541) 726.3753
r2t5'n~;~aO.s ET {\, ('11 E'i.EtnuCAL PERMIT APPLICA{:&W541) 726.3689
SPRINGFIELD, OREGi>lfJ~ nO , OUiUCZ (\ 1'\ ":l.l
INSPECTION REQUEST: 726-3769 'IE^&!,~yJob Number "\fI \ k) JJ
OFFICE: 726-3759 C:"',.('; o;':oc~: ,,;roboJ IOU seop pUB 'Buruoz
Ct!!!.\ogtlpF.",: ,> c\:\) P:3~~lwqno ca3~cfoJ€O}'l1l'ta~i"1~'-l.FEE SCHEDULE BELOV
1. LOCATION O,E.., INSTALLAttO~,' f\
$2:/16 . ~ ~ \ J(' ~COL."'" A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
t1t~ DESqwrrIlWf'l ;\/"\'2_
\ ,~~'\'::J U u.. )J
~O~DESCRIPTION '1\\0 1000 sq.ft. or less <<6'5
I YO h Q\ ~.0'\...o ...:J 0 Each addi tional 500
\ ' \ ~ sq. ft or portion
Per' s are non-transferable and expireA D thereof l 0
if work is not started within 180 day~~~ ~~ach Manuf'd Home or
of issuance or if work is suspende~~ ~ ~odular Dwelling
180 days. ~ ~_ ~ ~ .'Service or Feeder
'~~ ~
2. CO~CTOR INSTALLATION ONLY ~ ~ <ID ~rvices or Feeders
~eJh F,.,fv,.v l:#letflliel J:~.t- <:) ~~tallation, Alterations
Electrical Contractor .0 ~ ~ ~location:
~ ~ ~~
Address I ~O /tJwe. ~ hU1f1.l A IJ.f!...,- . 'fb -9'&2 a~~ or less
, I . ~!!~~o 400 amps
City J;:; 1/4 ~ Phone 100/. q 7Ct 7"} S'~o 600 amps
, 60 ~ 1000 amps
Supervisor License Number :''17'5'"" .5 Over~Ooo.. ~s/volts
Recon~c rt:9.~'ty
Expiration Date JIJ-J-o,,,,,
Cost Sum
$ 85.00 E6
$ 15.00 Q!l
$ 40.00
'..
Items
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number '11" j,.1.)'
$ 40.00 ~
$ 55.00
$ 80.00
see "B" above
200 amps or less \
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
) ~?,..-5' -~ti
Expiration Date
Si~~~~;;e::~ Electrician
o;ne~s'Name \1Ju.\ 0 ,~,C)\~ D.
Addres~ ~ f\'\iS ,
Ci tv DctQ1\Q ~ Phone 1,44 -2.lQ\€>
OlINER ~STALLATION
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One Circui t
Each Additional
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 r>9/~ ~
5% State Surcharge . I (),'/,c.,
3% Administrative Fee (n 4;s
TOTAL .:l ~ ,.!J.O
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: O...-?-'1- 4 -,
RECEIPT 11: 2~"3S"2.,
RECEIVED BY: 4<uf