HomeMy WebLinkAboutPermit Electrical 1998-2-2
~.
"",
e. 0 owing project as sub .
.:zonmg, and does not rGq"l' mml!ld.~61s tl1-{~ tol/owing
e!pprovaJ. Ilye ep0Cmc land Use .
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoning fYlttv
Date ?/l-CZ~
9 7~'?rlzed Signature /v }'V\
726-3769
1. . LOCATION OF INSTAL~~T+ON 1-
bZq/ f/ GZ83 !-?TeIL ~ 7'
LEGAL DESCRIPTION
I')...e> 2 -~7'- ~v. ~/~~
. - . , '" -
ELECTRICAL PERMIT APPLICATION
-(;;i~tyJob Number q ;?./ '3>< 6
3 . COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
JOB DESCRIPTION r 1000 sq.ft. or less
~)l?il) j) UIOI/?// T~pEcF&:T- Each additional.500
r ,sq. ft or portIon
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor 6tJl1'('fr{lL GVL~f
Address '30? l)b '/DrLft-:: i!.Lf
Ci ty~{)fI-~&€ h-;fJJoP_ Phone' qC;z-t/-?lJ8
Supervisor License Number 1t?41~/(?
Expiration Date u91
l
Constr Contr. Number /1J4fSl/L?
Expiration Date ~~q
/ "I
Sign~~~ElectriCian
own~rs Name ;gIll t/ Mf1;(i /60tA?7J11/t
/-,/
Address 3D717& {OiLH-lil~ z;;
Ci tY(fJl!t!tkP GJt.lJtP Phone qt.j Z-'l1)O/J
OVNER INSTALLATION
The installation is being made on
property lawn which is not intended
for sale, lease or rent.
Owners Signature:
"---~-----------------~-----------------
DATE: 2-<:"'" "7~
RECEIPT #: '...--;;; ~/~
RECEIVED BY~ ~~
,B. S~rvices 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
Items
costk~
$ 85.00 .~~ '
"3
~-
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 imp~'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
/ $ 40.00 CjO ~:
$ 55.00
$ 80.00
volts see "B" above
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
~Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
L(D-
40.00
40.00,
20.00
36.00
z... -
/ ,ZJ)
U'Z"tiJ
L -