HomeMy WebLinkAboutPermit Electrical 1998-6-17
N"''i'I~l3:
..~ THIS PERMIT BHAbL EXPIRE IF THE WORK
. ~IITI-l()Ri7iID Il~ID~R THIS PERMIT IS NOT
'~5r..Ff~'~ET I'f)MMl'NCEO 00 ~ A6ANOONED FOR
SPRINGFIELD, OREGON"91Q7T -. .... '"
INSPECTION REQUEST: AW.269-'3%9 peqt(h
OFFICE: 726-3759
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical ContractorJ3uildfc\ Elerttrc Irft Relocation:
Address 1C15MadlSr:n 200 amps or less I
201 amps to 400 amps
Ci ty ..EL~o\Pf\P Phone 4~o:, Zz-. 401 amI's to. 600 amps
o - .<::' 601 amps to 1000 amps
Supervisor License Number .BJ-o-~ Over 1000 amps/volts
Reconnect Only
Zoni""
1. ct~ATION OF INSTALLATION
4 Ro.inJ:D.l Dr.
LEGAL DESCRIPTION
lJo<, "2,~1 n /'d-rJh
JOB DESCRIPTION
_L()D ain./? ~'('\}\c.e
,
,
2 0r/Q,)I't
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
Expiration Date IO"I-q~
Constr Contr. Number_ '20-/,2..C
Expiration Date /0 -/-9 f)
Signa~ _S~::"ctrici,an
Oyners Name ---rc)m WI'C-E'
Address q [oL.l- RaJ0 ~lJJ by.
City ~rV'l~Phone
OVNER INSTALLATION
The installation is being made on
property I oyn which is not intended
for sale, lease or rent.
Ovners Signature:
------1---------~~--------------------
DATE: y -17- C;.1
RECEIPT 11: U,:50;-<F,;?-. -
RECEIVED BY: r I _ (YW ell,tJ- ('I ()
ELECTRICAL PERMIT APPLICATION
City Job Number q<{()7~S
3. COMPLETE FEE SCHEDULE BELOV
A.
Ney Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dyelling
Service or Feeder $ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
::0 .CO
C.
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 1000
$ 40.00
$ 55.00
$ 80.00
see I'BII above
volts
D.
Branch Circuits
,-
Ney, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Servic~
or Feeder Permit ~
$ 35.00
/1 , '~f\
$ 2.00 ... UJ
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
5% State Surcharge
3% Administrative Fee
TOTAL
S4<CD
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