HomeMy WebLinkAboutPermit Electrical 1998-9-14
.
bmltlad t>eo tho lallowing
The loliowing prol.c1leseq'~lre opecmc land ..".
zoning, and does no r
approve!, , LJ-IV
Zomnp
974YJi.t.~
72<huJ,Wad SignalUr. n VV\
1. LOCAj70N OFINS!~LATION
q 10 J{...LvL /J IiJLnL/..-
I Y(3~frz,1~fY-)~'700
JO}'> DESCRIPTION N01'\CE: E,.waa \~q~E.~O~ less
bL It- c... u-/,( .wt _, l'r. nCQMil S\1""LL'lfac~A4~\"~5q@.\l 500
''''~' - .,j:r\lI\'lDER1Hl!P. t{1'''or Il.ortion
Permi ts are non-transferable ij.jldl~'Pli're- p,IiR~ fOtl
if work is no t star ted wi thin ),8QiII~"'iYat.O OR IS ""Each Manuf' d Home or
of issuance or if work is susple'rMed" fOlY PfRIOD, Modular 'Dwelling
180 days, M\Y WI) D Service or Feeder
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
/ AJ ktt
ELECTRICAL PERMIT APPLICATION
'3~~J Job Number
9tt 07/7'
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
$ 85.00
$ 15.00
'~ 40,00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
r /l ,) Installation, Alterations
Electrical Contractot{!f{,umru /lH{u/JJ~ or Relocation:
1"'/\ t7 ,L/'J/- ...-,S 'leS'iOutO
Address {-V, J';}~'Tff--, O{l\a~u~'Il)l\U\.~t'iLess $ 50.00
/iJo C>..-c.cK(j~'~ b'it~('l:p19Ii,h~s~ormo amps $ 60.00
City (~{!>uJC tI.... Phone K"P;'lIf"~gJl.e~"os(j~\el' 990e~o amps $100.00
lollOIN ':' centel, \'Ir 300" s MeS.\)'00 amps $130.00
Supervisor License Number "Intiliea.tl~~ n(\t_oot~t }p',~501 ~/vo1ts $300.00
'Q/>.tI'"J 'i obtaIn c ~gnn 'ee.~ $ 40.00
Expiration Date 1./-/1(; - ~Mo,'{Ou{l\:~entedNJU\ili\)'NO\II\
- .y~lIl{lg.\'- t"e(ljl'~gOP~1<~~' Services or Feeders
Constr Contr, Number (J(" 1t....,D; 't,(Jobel1ol 'elist-80f1ristallation, Alteration or Relocation
\..11:1'''-
Expiration Date I.J -/ ~ -99
Signatured supervi~ EJJectrician
I'Y ,M ~fll!>::'~
, (~~- ~'f) "IL_ D.
Owners Name r IA {UM LntJ"7L'5
Address rJ. II ,A '() ( 7 Lf 2- ~
Ci ty ~J Ai Phone 71/tf "")(0(00
O~ INSTALLATION
The installation is being made on
property I owp. which is not intended
for sale, lease or rent.
Owners Signature:
~~~~:~~(7~!~~~:t~~~------------
RECEIVED BY: V!.. Ih IA /\. -'
C '
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
see ItB"
above
volts
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
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 ~I/,() C:>
5% State Surcharge I. 0 (J
3% Administrative Fee ' , ill n
TOTAL ....2.( (j ( )