HomeMy WebLinkAboutPermit Electrical 1997-12-19
The, k"r,winn ","n;"lct as s~bmili3d h<::s tho following
zona;,1 ~~ :~. v.~.:,;.s not rgq~Hj'~ n;:i"scilic land ue:J
apr<\7Va'.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoninq
9747Y=;
726-3769 .
AUlO'O; I~ed SIgnature
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor.J7..JFlIJO,/ ci..~ar .
Add' 2. :$;S 2. 2. }J C ~'.JSO!lJ ;ef}
ress ' ' "',
BAu5 tt PI2?t(~U: ' .
Ci ty L/JA. Phone~iI' -6gY-89J3
Supervisor Li cense Number :;{687- 5
Expiration Date Ib/<?8
Constr Contr. Number '3/,(p6r~ c.
..
Expiration Date /iJ/99
Signatur~:-~~~:g Electrician
owne~ame Sc;(1~ f.J Cort-p
Address 3 LfDCS ewL~ V;'.R.u) iJt/
/
Ci ty ~n'l1~ HLLJ. Phone 74(0- r; c.flfu
, I r
OVNER INSTALLATION,
The installation is being made on
property I ow~ whi~h is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: \,;t-:- l=t - ~-,
RECEIPT #: ;) <=6 '3 I '8
RECEIVED BY: ~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number C;7/0f~
3. COMPLETE FEE SCHEDULE BELO~
B. Services or Feeders
Installation, Alterations
or Relocation:
uni t.
Cost
Sum
1. WCATION OF INSTALLATION
~.bO Ba.TL(j...!E. R~. A. New Residential-Single or
. · Multi-Family per dwelling
LEGAL DESCRIPTION THIS PERMIT SHALL 8){pfReqpTHecWM:
17 (/ ? 2-1-(002)./01 AUTHORIZED UNDERl'HIS PERMIT IS NOT Items
.--: JOB DESCru;PTION C?MMENCED OR IS AIB~fYm)ONE[f Fowr less
I lE-JJA I,_rr 7p-'.-z~"e oc...lc/~" .t'NV"'1..6o-GA Y PERIOD Each add I t I onal . 500
, . sq. ft or portIon
Permi'ts ~re non-transferable and expire thereof
if work is not started within 180 d~ys Each Manuf'd Home or
of issuance or if work is suspended for 'Modular Dwelling
180 days. Service or Feeder
$ 85.00
$ 15.00
$ 40.00
200 amps or less ~ $ 50.00 50~
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t 10
$ 40.00
$ 55.00
$ 80.00
vol ts see "Bl. above
$ 2.00;;<D oD
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% Administr~tive Fee
TOTAL
$
$
$
$ 36.00
70.QE.--
3.<)D
,:) I \~
~ 7.C, ~o
f
40.00
40.00
20.00