HomeMy WebLinkAboutPermit Electrical 1998-4-17
The following project !IS aubmltlod I1a8 the !ollowlng
zoning, and do"" not require opeclf1c land UGO
epproval. \ 1 ,/,
zonlnglOvJ ELECTRICAL PERMIT APPLICATION
97477 4-1~~ f)lllL f1
726-~: ' City Job Number ~ ~\
I\llIhOftZod SIgnature (\ '(f\
3. COMPLETE FEE SCHEDULE BELOV
I /LE~~~Ir)Q.ro~
I.. J.OJj rD,.ES~N "\ " F1 (1 1000 sq. ft. or less
-ro.MV\JU \ 1 LV P L~/ Each addi tional 500
,. ~ sq. ft or portion
Permi ts ~re no -transferable .and e ~i e thereof
if vork is not started vi thin 180 d s Each Manuf'd Home. or
of issuance or if vork is suspended for Modular Dvelling
l~daYs. Service or Feeder
2. CONTRACTOR INSTALLl\TION ONLY NOmE: Services or Feeders
}H1S PERMllIR.~tallation, Al terations
Electrical Contractor drNl\.leI1!iI!li'lflS>IF'THEWO
'\.. / f\U I HORIZED UNDER I . RK
Address '\ ('Y)k~MENCE.JQO amp1J"i@tq~!J IS NOT
'\. / LQ\:I[l ISm1BANOOft~~ f!tJlIts
'\. Phone. ANY 1 ell DAY {I1fflll9l'lPs to 60!:) amps
"/ 601 amps to 1000 amps
Supervisor License Number Over 1000 amps/volts
",/
Reconnect Only
Expiration Date ~~
/ '.
Constr con~Number
Expiration Date
S. /'f S ..
19nature 0 uperv1s1ng
/
~N me ct\1)i -lo-f JaLtiufY1l11ll:l. Branch Circui ts
Addr s ~ (" l~ 4g2; IT (fev, ~lte~ation or Extension Per Panel
Ci t ref':ti:rt Phone V' E~~h C~~~~~~onal $ 35.00
~ ,l/\ Circuit or vith Service
O~ STALLATION or Feeder Permit $ 2.00
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
~~~ ~~~O:)
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
City
uni t.
Items
Cost
Sum
$ 85.00
$ 15.00
. $ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
,
,
'\.
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
,
Elecirician
""
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.~e~s Signatu~ -
-~
RECEIPT 11: WI I ''lOll/' /
RECEIVED BY: G\ \I~c. \... / -
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
I
Relocation cx:J
$ 40.00 4f),
$ 55,00
$ 80.00
see tlB" above
volts
.'
not included)
$ 40.00
$ 40.00
$ 20,00
$ 36.00
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