HomeMy WebLinkAboutPermit Electrical 1999-5-3
The. following project es submitted has the tollowing
zonIng, and does not require specific land use
225 FIFTH STREET approval ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning VO f?/ ~. } I A
INSPECTION REQUEST: 7fJfip>~7(;Q /}/i'h.qq / City JobNwnber Ct VII r
OFFICE: 726-3759 . IHY' -
. h"jflunzed Signature ,-'.<1 !'rf1MPI.F.TE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION ll\a'i'JfeQlli!eSY~iiit.p
14,.., 1~1~~~o,.J.."J'heO!egoll sJlort'Nev Residen tial-Single or
m\es~qgv~~.ti~~~~O'MUlti-FamilY per dvelling unit.
LEGAL DEScrojm~6D.ckntflvl?: ( PIJ1I:;r.;\6s \:liervice 'Included:
~r.::-~~~",",~ . !~one' Items Cost
ill 0"" a)' o\)\a . \\1e \e ell. . n
JOB DESCRI~jO.roN~01l~ecen\~edN~\eti\iWNO\I\ICa\\01000 sq. ft. or less
~\"\It'N~~~-t:'T.Aqj _ . .Each additional 500
. llU!11 ". ntadS'- v' - sq. ft or portion
Permits are non-transfQ~able and expire thereof
if vork is not started vithin 180 days Each Manuf'd Home. or
of issuance or if vork is suspended for Modular 'Dvelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
AddressZ5l\ W. C;~ <:::\.
CityE..J<s-. Phone~gt;; ~~U~
Supervisor License Number L;;lD ~-r
Expiration Date
\o-\-Cl.""\
Constr Contr. Number \"S'-\ La ~ 8
Expiratlon Date "'S - ~- c \
Signature of Supervising Electrician
'-7~. .-
.,ff::rs Nam~ G:::......'. r:F(Q',DD.
Address -;?'.::7b" c::::.. -,C~ ~.... .
City~ .~.. Phone{'f?;...~7{ I
OWNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
. for sale, lease or rent.
Ovners Signature: .
~A~~~-------~--~---------~~-
RECEIPT l: n.35 70/ (,
RECEIVED BY: f); 1 n(J..-lMd u
. . '.
.B. 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
Sum
S 85.00
S 15.00
$ 40.00
S 50.00
$ 60.00
$100.00
$130.00
$300.00
S 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
$ 40.00
$ 55.00
. $ 80.00
volts see "B" above
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
$
$
$
$
..30.. ()D
.~
. '3 X". ~l<:;-' 3R Sf
30.00