HomeMy WebLinkAboutPermit Electrical 1999-4-14
~ .
The. following project as submitted has the following
zoning, and does not require specific land use
approval.
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SPRINGFIELD, OREGON 9ii't477 1./-11./.- , --;
INSPECTION REQUEST: c7~6~3769
OFFICE: 726-3759 Mut onzed Signature
225 FIFTH STREET
Zoning
1. ?LpCATIONOl; INSTi\J.LAJION V
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/ LEGAL DESCRIPTION ?
f162-//)(}O O/.;()O
JOB DESCRIPTION I
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Permits 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 ONLY
Electrical Contractor
Address
/
City
Supervisor
Expiration
of Supervising Electrician '
Owners Name 1/ aM ~~,i;..e /; t/j
Address '5hYoO /W f' 12/
City S~/JJ PhoneJ7'Cr-jOs-t
, I
OVNER ,INSTALLATION
The installation is b~ing'made on
property I own which is not intended
for sale, ,lease or rent~
Owners Signature:
(}/yYV/ efJJwl~
DATE~-~j--~7;i~f-~--------------------
RECEI PT tt: (. ~ V /1' .I () 3 j if '1 ?
RECEIVED ,B Y : _ 4" I.J N
,ELECTRICAL PERMIT APPLICATION
Ci ty Job Nwilber rfOLf I'"z-
3.
-
COMPLETE FEE SCHEDULE BELOY
Sum
ATTENTION;Oregun law reguires you to '
fotlbw rOleS~tl~pfe<P.i5~ tffiffi%"~n I,Jtility .
NotificatiJR~ 'E!f.-thB!;a:r&~s11T~~~'lb1th ,'.. . .
in OAR 9g2-otW ~&ftblhPcru.gh OAR 952~001- .
0090. :Vo~<ffia~fil ~tairaFo~~~sof the rul~s by $ 50.00
callm~, COl{'~r. ~otQeU1~~~II",,,g $ 60.00
numbe'4wrttmn ~~gwll;'&tityA\ ~~fi"aljvll $100.00
~!DtEirdfP!-8{l9~~~e3~s $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over'401 to 600 amps
,Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One \Circui t 1
Each Additional (
Circuit or with Servic~
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
35
$ 2.00
'"2-
not included)
$
$
$
$
37~
/. f 5
/ i I
? '1 Cjh
40.00
40.00
20.00
36.00