HomeMy WebLinkAboutPermit Electrical 1997-4-30
'!
.
- SpaFIELD
Tho following project as fiubmrttcc: h"'s t'1 ,f.~' >.<;llJ
zonlr.r, and aves not require spec;.ic :;..,' j L...
225 FIFTH STREET approvel, _ ELECTRICAL PERMIT UPLICATION
SPRINGFIELD, OREGON 97477 ?' LD(L l~ Lo
INSPECTION REOUEST: 726.,.,376'j['"-D1 City Job Number ,\r ) I
OFFICE: 726-3759 D"'^L.l.rr1D-y.
. I 3 COMPLETE FEE SCHEDULE BELO\l
1. J"Q9.4T~No OF INS'fAr.r't~mr_ i~eL\ t-' M .
o;,JJ 't\~\}.9Y {.J.JD\\ \.___ \ A.
t-{Q~1~~2?Ior\l~
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
fl5
4<0
t~'\'Q~:frrr~mp J496 1000 sq.ft. or less I $ 85.00
,Each additional 500
sq. ft or portion ~
er . s are non-transferable and expire, thereof $ 15.00
if w k is not started within 180 days Each Manuf'd Home or
of issuance or if work is' suspended for Modular Dve11ing
180 days. Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations,
Electrical ContractorfnbfioMrflte.-1rlz. Il'\t.. or Relocation:
Address l~O \Lin.~hLlY\JI /\.to _ 200 amps or less
\) 201 amps to 400 amps
Ci tyG.n.~./ Phone (0<6 'I -797.3 401 amps to 600 amps
~ 601 amps to 1000 amps
Supervisor Licen.se Number 3'17 5 :> Over 1000 amps/volts
Reconnect Only
Expiration Date ID-f-q7
Constr Contr. Number qftJ27t:if
.,
Expiration Date
(-25-qR
.
Si~~~Electrician
Owners Name -\(\.\:11)\ 0_ J).~
Address<,;~nq..3t~;I\OV ~
City Yid'1V ~O > Ph;ne 4~';\'~1J0
O\INER IASTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~- 0 -~l?~-t(=r-------------------
RECEIFT.: t '5')'10
RECEIVED BY: 1.1/_
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or-Feeders
Ins talla t ion I Alteration or Relocation
200 amps or less I $ 40.00 4-(;
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over, 600 amps or 1000 volts see liB" above
D. Branch Circuits
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% s~:~~s~~brge .
T~,
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
IryO'~)
S.I( )
I '6~. loa