HomeMy WebLinkAboutPermit Electrical 1998-7-7
Z~~
O~-7-4 ~
N0~~ n .
THIS PERM;T - ~ '" Rr.TRTCAL PERMIT APPLICATION
97477 AU7J./ SHALL E. nGf\f'\'1'
726-'(:'069.0RIZEDUND'-" XPIREIFTHr.-City Job Number~
MMENCE, ..R THIS .. ~~'k
ANY D OR IS . P~Wt I':E SCHEDULE BELOY
1. LOCATION ~;ollft%Cl"" OA "'RID Ae.1IVDo,v"," :!'M r
.")1"\\0. t D.. A. New RQBidential-Single or
. . Mul t i-Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
\~Ot\4\4 m~\<R
.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~)E~~~N-1() t--.~ ~~.
Permits are non-transf~able 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
Contractor ~ et~.T:.'
. /
7~ j';,'v
(6'fZ
City e~
Supervisor License
Address
Expiration Date
Phone TZ-'1-((;60
115- .s
(Z(9g'
~3)"$7 Bf5
/z(c;g
Number
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
M~'~
Owners Name~ro 6\ --( h~~ \\O.Q1\O.....D.
Address ~~\ \
City &r~
. 01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~
------------------------------1:1----~
DATE: O~" irt. 70 '?r
RECEIPT II: CJ t' '/ / .
RECEIVED' BY: ""-/
-
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeaer
B.
Services or Feeders
Installation, Alterations
or Relocation:
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
Items
Cost
Sum
$ 85.00
$ 15.00
Q..
~U.Co
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 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 100u volts
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 Servi~
or Feeder Permi t~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00 4~
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
B4~
4.W
m::! ,:6_
~?-