HomeMy WebLinkAboutPermit Electrical 1999-11-15
The. fOllowing project as sub .
zOning, and does not re ,mltted h.a.s the following
approval. qUIre specifiC land use
Zoning ~T
99Z:" 1I-IS-.99
"~ar1l'1Cl'Jiignature (\()
o 3.
ELECTRICAL PERMIT APPLICATION
(;i ty J~b Number qq 1 L{ ~ I
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. _~OCATION OF INSTAL~T;rON C';.,-I- r
I "'" C\ 1 S PI &o'"T 'I' H, !-l
[1J".ft5:~Sez:;7yt3~O / 00
.~~ JqB DESC. RIPTION of) _I 0
WD"1 U \0 I 1< 1 /YJ..LD (J _
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractorWJ(~) J/OJ/f'U Hilt
. J .
AddressJ.f.U() /)f'(?/LI/J '-~. .
City Luf<fliJ..!l Phone .LI?O d -1.~ t.3
Supervisor License Number %/J 7\ \"
Expiration Date //J -01
Constr Contr. Number ~~~~~
Expiration Date II) ~t1~
~i~Of ~:;t:z ;c.trician
oy:rs Name -tho rra.S a ; n
Address /L?f I SD./+ S-t.
City ('nlri ralJ f (rJone7 c{ Lf -/ )1 ~
~~~TION
The installation is being made on
property I oyn Yhich is not intended
for sale, lease or rent.
Owners Signature:
DATE~------;/~;~~-~-;?~-------------
RECEIPT #:'. "<'; /"l ~ 7
RECEIVED BY: ., ,//J:?rLA -
q"- (
COMPLETE FEE SCHEDULE BELOV
A. Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular Dyelling 40.00 4~to
Service or Feeder V $
I
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
$ 55.00
$ 80.00
see "BII a~
D.
Branch Circuits
.'
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith 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
not included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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