Loading...
HomeMy WebLinkAboutPermit Electrical 1997-3-6 ',;:.\'1 _~'+____J"_'''''_'_~ "", Thp. fOll,)\"j/lq pro'e"'. '" 'h '" , zon:'".' rn l"'d' ,I ',.oll..S $l!..)mh'~"'~ h,'....l~n . .1 '..~~ .:'.;G OSS noY "eQ'ujr..~;,; II'" ~ - ", ~, . ; O-IJP} QVul. . 1.1'0 '-IP\..c:nc:. ;\..;l'j ~l:;D 225 FIFTII STREET I r1A 4J SPRINGFIELD, OREGON 97477 ZOi"1ing~~_ INSPECTION REQUEST: n9n37692.Jt=;/'7~' OFFICE: 726-3759 --~ . f!\uti"lOrL!ed Signat ,13 JJ~. 'COMPLETE FEE SCHEDULE BELOY 1. -trA~N( "-~LATION LEGAL DES~PTION ct.,,"" \, NL~~,' ~ Q':)"",.r /.-- MJ"OB DESClU-.tiJON . V 1 \ltf\UA_ \..,g)f\AL Permits a~non-transferable and expire if work is not started 'within 180 days of issuance or if. work is suspenoed for 180 days. 2..- CONTRACTOR INSTAL~TION ONLY B. Elec t ri tal Con t rae ti<r 1\ QX\ \~~\lJ Address\\)\0.. \\rN\'\ ~i\\~ Ci ty f" Qif r\Q..... PhonelLq. \w Supervisor ~cense~~O:? C\L\~ \D. \.C1~ Expiration Date Constr Contr. Number \ (2)\~ Vd-. afJ.\ crJ. Expiration Date Signature of Supervising Electrician ~~ Owners Name ~(\DM' \~tnm Address ~t)2..t\ ~ ~_~trl Ci ty ~ ~ Phone 12..\oJJl L O~~ ~STALLATION - The installation is being made on property I own which is not intended for sale, lease or rent. ~ Owners Signature: -------------~-----------------------~ DATE: -:?,-.,;-e? 7 . ... . RECEIPT 11: i.~j..., Z, ~L\-l y,O RECEIVED BY: ~_ ELECTRICAL PERMIT APPLICATION City Job Number QlfY)l)5 A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 ~. $ 40.009[) 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 volts $ 40.00. $ 55. OCT ,- $ 80.00 see "B" above D. i3ranch Circuits New,'Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E_ Miscellaneous (Service/feeder -Each installation Pump or. irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm no t included) 5_ $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~~ -eJ& ~~ SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL