HomeMy WebLinkAboutPermit Electrical 1999-8-31
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
~%~L\
0$
. .~
3.
1. ~ION ~!4I~~ ~'
o ~'\ll \l..... ~ t ' A.
- .... - -
, \fl~~~PTIC~
k~ ~ -r~ 3?J(!J
per~s are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Electrical contractor~~ hStv- ~"/Q~'i-
t{(~Sfro./o/ nVu
, Phone bC67 7f1.3
Supervisor License Number "5 <J 7,.;-5
!O-ol- Df
, .
Cons t r Con t r. Number '20- ~J-:.2. c..
10-01.-<9'7
Address l$U
Ci ty rU'1 ~
- ,
Expiration Date
Expiration Date
Signa~ure_~~~ervising Electrician
,__~d~'J;:~
- ow~~r~sN .~~:-!~diuo ~ ~ \-\OO\QD D.
Address ~'t{. -~ -
Ci ty WQOl\D-- Phone~. ~lo(i)
OVNER I~TALLATION
The installatio~ is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ){J/;q-j J' 5'
RECEIPT #: ( , '~5];,3I'A
RECEIVED BY: /~_
pC , V'z., l
ELECTRICAL PERHI7\~PLICATION
Ci ty Job Number V\CA. \ \ 9'J lo
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion ~
thereof ~
Each Manuf'd Mome or . .
Modular Dwelling
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 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Cost 00
$ 85.00
$ 15.00 f1')
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less -L- $ 40.00 40
201 amps to 400 amps ,$ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
C.
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 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
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~:~
~.92J