HomeMy WebLinkAboutPermit Electrical 1997-3-17
SP.FIE.LO .~'..,~ ,."
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The following proj2Ci os subrni.t:--o 11 ..'
zoning, and does not roquifIJ ':,' ._~.' , ~.
approval.
Zoning L>>f2-
Oat. .J-/7:f7
97477 A~;~,_.:".JSlgnnturo~M
726-3769 .
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION AF INSTALLATIO!i." L
--1,.1f'"e>t YY'-Q&"D'Tr,~ Ot1L A.
~AL_pESCRIPTION '7 0
I /D, :l/L/ I ~n 2, 0
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor mv ~\e&\'cI'A.o \...,c..
l .
Address 3771~ PuV'<:.c."..uS "it Rt\,
Ci ty"')o('~ Jj:,t~p~ Phone_ ~ 7-:29.=\3b t
supervi~or LiUns~ Number 3lJ ~ 73S
Expiration Date /t-:J/3 J) 9. ')
, , C~
Constr Conn, Number :J 0 - ~ 3'/ ~
Expiration Date//!:-'I/q J
Sie:Q~:::QeGisL~an
Ovners Name fiI. C<:> l"lt 1=:C'^ \ e.\J
Address jiLlw. ~$-, :Inn L6ca.~Cl10
~4 h-4q~;)
City
Phone
OYNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Ovners Signature:
..-
~~TE~-----j-i--1--~-~~-------------~
RECEIPTit 7, hJ.V~D
RECEIVED BY: '7 - f!I/1 JA ./\.
ELECTRICAL PERMIT APPLICATION
ci ty Job Number 9' 7D 5 t 1-
3. COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family pe~ dvelling unit.
Se~vice Included:
Items Cost
1000 sq.ft. o~ less
Each additional 500
sq. ft o~ portion
thereof
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 am~s to. 1000 amps
Over 1000 amps/volts
Reconnect Only
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 .t:)7).O 0
$ 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 o~ 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm _____
5.
SUBTOTAL OF ABOVE
5r.'State Surcharge
3r. Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
<::;"(),O Q
;.). " u
I. Jr;U
:-J'-( ( ( J
40.00
40.00
20.00
36.00