HomeMy WebLinkAboutPermit Electrical 1999-1-9
The. fOllOWing pro'act .
zoning. and doe~ no::eSqUU~mltted h.B.S the fOllowing
approval. Ire specifIC land use
225 FIFTH STREET ZO ' J... 'j) r< ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9),477 mn9
INSPECTION REQUEST: .'n'6~769_ 1- 7 -'7"'; -City Job Number ~~CJa\)(
OFFICE: 726-3759 I,ulhorized Signature
1. LOCATION OF INStALLATION
l/2~ s: 79~s/
\ LEGAL DESCRIPTION
I,Od-- '3[,,?:o 0 Ltuuu
,\JU nef:.
.J:.4i~OJf..J>!~~AIJN ?~
~ "> ~i[.Y/=&-'~(-lJ!l.u:_. "I' ~;
AUTHORIZED I Nn ' ~, 'rrc WORK
P~t%~,~.s\I~;:e fon(;Walis1AA1~p.~.s<ID9Texpire
If ~ork! IsCnot 1~~i:lJi~~~)~~D'hw~ 180. days
of Issuanc~or If worK IS suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
El~rical Contractor
Addre~
~
//'
City
Supervisor
Expiration
Number
iration Date ~
. Signature of Supervising Electrician ~
Owners Name .ibA/Hlcl ~ ~z_,j;;C/z
-#,'
Address I/? V s: 79 - ...rr
Ci ty S";p'#?J/Z... Phone.53""r' 03'Vij
-, "
OlINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
---------------------------------------
DATE: \- I - ~ "\
RECEIPT 11: . \ .
RECEIVED BY: '('\ , \ y,-~o......;,~ "-.:)
?
~n~E FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
ASe~Td€ll'!l;filCEl!i!RllaijlY' requires you to
follow rules adopted by the Or!lli!@6\~ti'ity Cos t
Notification Center, Those rules are set forth
in O1I()q)Q5IlqJOfltOO1frth1Q~ OAR 952-<19185.00
oO~c,Q,~dj tJblllIial:dPOO> of tne rules by
calPihg ~ ~tIlP~4lOJl the telephone
numb@rftSl'~he ore~ Utility Notificatic$'115 . 00
Each rfuHl~!;<:\- ~3Ql2344).
ModUlar, Dwelling ,
Service or Feeder ,$ 40.00
Sum
.B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
,0. 8D
$ 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 100u volts
$ 40.00
$ 55.00
$ 80.00
see "BtI above
D.
Branch Circui ts
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit /
$ 35.00
$ 2.00 .;zoO
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
40.00
40.00
20.00
36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
~? c90
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