HomeMy WebLinkAboutPermit Electrical 1999-1-5
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zoning, and does not require specific land use
approval,
225 FIFTH STREET ,Zoning ~DR.
SPRINGFIELD, OREGON 97i(jiAe, 1 - '5 -~'11
INSPECTION REQUEST: 72Jh?c769 ,
OFFICE: 726-3759 ut onzed Signature
1.
LOCATION OF INSTAL~TION ,f
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LEG1*t~:rB~~D(cJ{pO Y
~OB DESCRIPTION
1/9 /Jit1 ~fJ.. :2 ;,'f1!a',' /1
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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 B.
Electrical Contractor () 9./1 ~ f heJl,({!,.
Address .to) ,/j'l d ~ I7tJ '7
Ci ty >A.1. ~ f:h 7 Phone (, Y ~ - ::>-5 () 9
Supervisor License Number Le '7f?' - S-
f (J - L - ,).6 () ,1
'1 rz 0 D
1--19-lctq~
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
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K~~
. __ D.
Owners Name (\lY-P-i.'5-rODhkv? e/A~fw1Dnl
S'~O Ck5CA~f_
City 5flPJVlcel~cztJphone 7)& "'&7l3
't.
OVNER INSTALLATION
Address
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------------f--J-----------------~----
DATE: II ~ C(q_ J ( ,
RECEIPT #: 'I \ Jl<1-Lf)()
RECEIVED BY: ~ :- t-v).( /1_ .=--
"'T.~CTRICAL PERMIT APPLICATION
City Job Number qr I S_~V
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
,1000 sq.ft. or less $ 85.00
Each additional 500
s.~U-TH\n~bf~.oJ: t i on
1!Mo;w(jlJ/e . Oregon law ~~. , $ 15.00
~P1ti!tillc~~Pd1~b9 Fhe "'iU" tI$ you to
InMM.R~~_ ~~t~iIDlJose rU/OreQ.on UtM'm'/it ..
Ocsm;~LLce 1-~@i!dll4r- es are s$t 00
.ruu may . l1Troug~
calling tge@ Obtam Copies of th 952-001_
~~nt11i~ !@n~~6re' tho ._i_e rUles by
Insta g.rtt~r~HUar':fOllt1lrePhone,
or Re ~~l1iQll~800_3 IMy Notification
32-2344).
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps ,to 1000 amps $130.00
. Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temq~fl~~~ervices or Feeders
Inst~Il~tion, Alteration or Relocation
THIS PERMiT SHALL EXPIRE IF THE WORK
200 A<L~PrfO~~E+f=i~~DER THIS ~ERMSr ,'t-O~,QQ.
201 amps to 4-00 amps i $1 S:S. 'EJe>
OveJ8CL{0!J!1Eto~r():<[)O\Farfi!prs3ANDONE[$Ft8Q. 00 .
Ove7;j\,6p93\r-BR~' [.q:Rlt:R.90 volts see "B" above
Branch Circuits
New) Alteration or Ex~ension Per Panel
.- -
One Circuit $ 35.00 ,~ S
Each Additional
. Circui t or wi th Service I -
or Feeder Permit $ 2..00 2
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
J ~'9~~
5 i '1-~
' q.
40.00
40.00
20.00
36.00