HomeMy WebLinkAboutPermit Electrical 1999-2-19
l.
;
'"
,I
I
I
i
,
,
~
-v. '"
"~
, ~":~MIT SHALL EXPIRE IF THE WORr~
"
i:WFIFl'lI,=s~JERMIT IS NOT 0'1l'~
SPRINGFIELD" ;,q,J,l.E<;,g~D9],,4)7 ~O'"
INSPECTION REQUEST!: r12~-3769 %
ANY 1foFFICE::RII726-3759
1. L~tdJ~ ~~~~~T8tt
\f')~~~~PTI~rzcO
~.,.~~~
ot.'~ ~
0'/ ~~~
, v '"
OQ ''0.
~t$'I71901'
"0 ~\S'I
,.~ ..
"p,,;:'61;. ELECTRICAL PERMIT jtP};LICATION
"<>~;O'.. City Job Number L\qW(
'C>~
. ~~TE FEE SCHEDULE BELOY
0' 0...
".. ....
New"R~idential-Single or
ulti-Family per dwelling unit.
S rvice Included:
1'\'~""'.^e.
. 1.\;t&.
~B DES RI~N ~~~ 1000 sq.ft. or less
Each additional 500
. 0 _<::4- - .' sq. ft or portion
Permi ts are \Jon-transferab ilaEei<p: ~Ore 0 thereof
if work is not started withi OIl!BOr9:'!:tl1ldoPtgd~/'E1H!I{lIHifn\!,fJLd:oHome. or
of issuance or if work is sl1'stien9~,lh !."O;flte ~h ytMoffir\l:arnD..1(.~il,ling ".
180 days. in OAR 952-0;1-0~io oseSe'I?\I,i"lle sQHdl!lf!der rA.
0090. You ma 0 : thro~gh OAR 952-001_
2. CONTRACTOR INSTALLATION Qfff;.:mg the!e ~taB', cOISel'VJ.iO'es rlSl!is f)yeders
~/ ~berf~>>.,,~_(~otqriSMa.Il;~.G!R!1' Alterations
Electrical Contractor /~,~nlliijjt~AA;Q.lieJtMlr:
(/ --'"c, ,..., 1-800-332-2344)
~ ,~ 0 -. 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
Address /t? rZ-
City ~~
(!
Supervisor License
Phone 7,;2 9-/500
1'15-.5
/z/ o{
Cons t r Con t r. Number b ~I ~? lS/;- IJ5-
/2('1'1
Signatur~ of Supervisin~ Electrician
. V!,~
Owners Name ) ~
Address / I f&q 7} Yfz;,/~,]tIJ--
Ci ty ft ";Q~ Pho~ Jo RR !JjJJj
OIINER 4NSTALLATION
Number
Expiration Date
'Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------r--r.--------------------
DATE: ~I ful91
RECEIPT 11: - '40 $'/ffl15
RECEIVED BY: I1Y /,d~
(
C.
It ems
Cost
Su,
$ 85.00
$ 15.00
.$ 40.00
w
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 100U
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
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 Servic~
or Feeder Permit I
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00 ~~
not included
$ 40.00
$ 40.00
$ 20.00
$ 36.00
P61. aJ
~.I/)
1.t.J (,
x5 '. '\b