HomeMy WebLinkAboutPermit Electrical 1999-4-2
",if, folloWihQ prOject as su~mitted has the following
"J,lfI\), aha does not require specific land use
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225 FIFTH STREET Zoning L j:) (L-
SPRINGFIELD, OREGON 9T4~7 q -d-"') "'\
INSPECTION REQUEST: 7'~~!U~.1e~9Signature ckvu
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
c:Jf.pL// Ca_st/-e .j)~/I/-e
/~L~~OO
JOB DESCRIPTION
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 ONLYB.
Electrical Contractor C/Al(t~ c.M(f2,'C
Address rOq b PIll ~1
City ~D{ll Phone .c;ol-Lf9/S-
-If
Supervisor License Number 4. ')0 ) S;
Expiration Date /6/0;/ 01
, . I C.
Constr Con tr. Number i 3 f).13 OJ Cc..B
Expiration Date );:)... -I L{ .... 0 0
Signature of superVisi~.ee/c. ty iCci"an
~~ D('Yff/~~-
Owners Name . (/ IN,) (jjrJ d(~ / .
'Address 2& c( r.(f1Slf.{ __ .f)~( vL
CitySpLillietkhone' .'
OWER INdALLATION
The installation is being made on
property I own which is not intended
for sale, lease or ren t .
Owners Signature:
f ..
DATE~------~15=~tL('~-~----------~
RECEIPT #: . I - [J-<...!.-L:S 'q
RECEIVED BY: 1'\.---r'fYT7V~
ELECTRICAL PERMIT APPLICATION
City job Number q'l / S~c(
3.
COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
CCst
Sum
1000 sq.ft. or~less $ 8~.00
Each additiona~_~OO
f . "1
sq. t or portlo'n,l I ,
thereof, . "";""("- ',." $ IS. 00
Eachll;Maf~uf' d Home. or ;'., ",,--,' ~-'.j.......
Mod~lafDw.elling ':;- , ':' .'. " ,- , ' "',L'!~
Service or Feeq"e,;:-, 1"1!~;)n,,,,"$ 40.,Q9
V", -'Ift::::DF. -if
Services or Feeders OR
Installation, Alterations
or Relocation:
200 amps or less -L $ 50.00 t 50,00
~2rTE\ltirto~oW9~rf1IMw~rE;~J:;-';t5 YO~1.~g: g~
lW D#?L~~S rgo~P!t )6~hlffsOI C:~UII ~11!%. 00
, 5it~~~rre~M1l~1 }8~~sult:::I em: sesoo<<h 00
1~lecOb~QOb~WO through VAN ~52i0~(!)-. 00
0(j90. 'you may obtain copies or tne rules by
Teil\~8iil<.i~ C~ij~.i(~eb1theFle~Mle
rngm1flltti16rOrE'lgbreWaltly~tijJeaIN~iIloca t i on
Center is 1-800-332-2344).
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see' "B"
above
D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
. " I
, .
One Circuit $ 35.00 .,
--.;
Each Additional
Circuit or with Service
or Feeder Permit __,C;- $ ~~ . 00 /v
,. I
E. Miscellaneous (Service/feeder not included)
. -Each installation
Pump or irrigation $40.00
Sign/Outline Lighting $ 4u.00
Limited Energy/Res $20.00
Limited Energy/Comm $ %.00
5. SUBTOTAL OF ABOVE Jj (/10,00
5% State Surcharge - ~ 'll U
3% Administrative Fee l~ A Q
TOTAL (lrI _ '(3 t"L
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