HomeMy WebLinkAboutPermit Electrical 1999-12-28
-
'.
....- --
SPRINGFIELD
"
,
zoning and does not require specific land use
approval
ZOning H/C Q....
f.;).-J.% - 7 "j'
~
225 FIFTH STREET
SPRINGFIELD, OREGON 97~lme
INSPECTION REQUEST: 726-~769
OFFICE: 726-3759 hut oflzed Slgnaluro
1. LOCATION OF INSTALLATION
1'7/'7 !!&J..Ju.?nA4./J
LEGAL DESCRIPTION
}702, 2C, '2.16 (" Nf1)
JOB DESCRIPTION
'--n UU Se.LA(...,<.;--L
PermIts are non-transferable and expIre
If work IS not started wIthIn lBO days
of Issuance or If work IS suspenaed for
180 days
2. CONTRACTOR INSTALLATION ONLY
ElectrIcal Contlactor EUjf'Yle. F:lfLfYlc
Addless 1'2-0 JVlon roe...
CIty EU.9-t>fl.L
Phone 3L/4-35{PJ
Supel VIsor LIcense Number I DC:; 23
ExpllatIon Date 10/01/0/
Constr Contl Number CJ0200
ExpIratlon Date 3//7/0/
SIgnature of SupervisIng ElectrIcIan
~ C-turJ ~/
Owners Name fk-uJ/!...{,( ~
Address 17 17 &,...~~ &~
CIty ~ Phone 1fJ-J..ln
OVNER INSTALLATION
The InstallatIon is beIng made on
property I own WhICh is not Intended
(or sale, lease or rent.
, "
Owners SIgnature'
DATE
RECEIPT 11:
RECEIVED BY:
I~-.::J..q-~~
IrTfl51) lid-
~
':".ECTRICAL PERMIT APPLICATION
CI ty Job Number
C/9- / ,-/()3
3. COMPLETE FEE SCHEDULE BELOV
A. New ResIdentIal-SIngle or
MultI-FamIly per dwellIng unIt
SerVIce Included'
Items Cost
1000 sq ft. or less
Each addItIonal 500
sq ft or portIon
thereof
Each Manuf'd Home or
Modular DwellIng
ServIce or Feeder
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,lOOO amps/volts
Reconnect Only
Sum
$ 85 00
$ 15.00
$ 40,00
$ 50.00 2a>ev
$ 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
D.
Branch CI rcUl ts
$ 40.00
$ 55.00
$ BO 00
see fiB" above
New, AlteratIon or ExtensIon Per Panel
One CIrCUIt $ 35 00
Each AddItIonal
CIrCUIt or WIth ServIce
or Feeder PermI t ~ $ 2,00 L/:; 00
E.
MIscellaneous (ServIce/feeder
-Each InstallatIon
Pump or IlrIgatIon
SIgn/OutlIne LIghtIng
LImIted Energy/Res
LImIted Energy/Comm
5. SUBTOTAL OF ABOVE
7~ State Surcharge
3% AdmInI~tratIve Fee
TOTAL
not Included)
$
$
$
$
;;1:; DO
/6.Cf~
72 V,
_~/,,/,-, ;;10
40.00
40.00
20.00
36 00