HomeMy WebLinkAboutPermit Electrical 1999-9-27
The following project as submItted has the following
zoning and does not require specIfic land use
approval
ZonmL '0r\ 'P,. C
225 FIFTH STREET Date 1..:\ - cll - 0..'4
SPRINGFIELD. OREGO~"t~.7."Z6.suw t
INSPECTION REQUEST: '1tl)-31b~ ",e
OFFICE: 726-3759
~
1. LOCATION OF INSTALLATION1~
f 7 '7 /J ..J.. ""V""~ 'Ave
_ I oiL....... J\JI--t)!::;::);i::f,..<f ~,H ,"
(-'\\ ~_ dOyHir.:\.IIOV~e-
. IloW" .\"," acloote . C dff' "t>' lort\
,0 LEGALaDESClUPT.IONil, ~-,., nr)l-
N~11Io/'~V~3~r b~~1(\ ,~gJ'-,!.'i i@ r;-,~~u
In U/~n ~~.,J"" ...., ~\I n\1ta,fl COp\el.:, Ul 'I \0.' ,.... - - ~
ooqO 'JOB roESCRIPTION, the 18lep\10ne
caih'A1lr~ ~i~;~a 111 A t"li~~~ Nout\Cal1on
numut:::t IV" - ~. ~\~"'<'J~'- LJ.tJ,)~
perm1t~ar~'n~~:transferable and exp1re
if york 1S not started v1th1n 180 days
of 1ssuance or 1f york 1S suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electncal Contractor ADT SerJ.ll:i.'~'
Address 1501 P~ar1 !:>
C1 ty Eu"en~
Phone~2-111'____
SuperVlsor L1cense Number '3' u.,u"
Exp1ratlOn Date
Cons tr Con tr NumbeL' 59944
Expiratlon Date 6 - 7 - ~ I
Signat~e of Superv1S1ng Elec~r1c1an
~~ ~~
"
Owners Name )'1"'..(v.,~:......q (" cI- {~
, -
Address n n ~ b.nJ'ILU
City>.5pjJ ~ I Phone i-j'l, 4 -&00 I
,
OVNER INSTALLATION
The installat10n is be1ng made on
property I ovn Wh1Ch 1S not 1ntended
for sale, lease or rent,
Owners Slgnature:
-
D~~E;~:~~-~--srt/-------------------
RI>rF.TP1' #. 035 (/7"7 /2fl1 '
ELECTRICAL pERMIT APPLICATION
C1ty Job NWIlber 99/ d-. ;0
3. COHPLETE FEE SCHEDULE BELOV
A. Nev Res1dent1al-S1ngle or
Hult1-Fam1ly per dvell1ng unlt.
SerV1ce Included:
NOTICE: Items Cost
100OTl!lj3.mt8t11\\lS~ EXPlf\E \:il(IEyt~
EaCh~~lf.li1Umoe.R 'M,~rc:R~rrls
sq. ~~~SABANDONEDFOR
the $ 15.00
Each AIt'll(\iB0IDMI'~1QD
Hodular Dvell1ng
Serv1ce or Feeder $ 40.00
B. Services or Feeders
Installat1on, Alterat10ns
or Relocatlon:
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Sum
C.
Temporary Serv1ces or Feeders
Installat1on, Alterat10n or Relocat1on
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circu1ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, Alterat10n or Extens10n Per
One CUCUl t
Each Addlt10nal
Circult or v1th Serv1ce
or Feeder Perm1t
E.
H1scellaneous (Serv1ce/feeder
-Each 1nstallat1on
Pump or irr1gation
Slgn/Outl1ne L1ght1ng
Limited Energy/Res of
Limi ted Energy/Comm R
5.
SUBTOTAL OF ABOVE
~% State Surcharge
3% Adm1n1strat1ve Fee
OT''''l''AT
$ 35.00
$ 2.00
'!
Panel
not 1ncluded)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
$'2'lYl .
- -v~~
1.00
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