HomeMy WebLinkAboutPermit Electrical 1999-4-28
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The following project as submitted has lhe following
zoning, and does not require specific land use
approval.
Zoning
-......- -
Sf.nINGFIELO.~...' .
!A~_ . :.' =~'.", ',. ~
. $1-
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vDlr A'
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Date 11M X .
.2~~,1~~fIU STREET /..
l'U'hOrl"SjJrt'ffit';l~f'L..u, Vltt.L.v/rli I ~ 1'1
INSPECTION REQUEST: 'r26-3769
OFFICE: 726-3759
AL
ELECTRICAL PERMIT APPLICATION
City Job Number c;9().5?J L(
3. COMPLETE FEE SCHEDULE IJELOII
1. LOCATION OF INSTALLATIO\l .
L3;l.. C,.J..d IJ,,o'E./A.
LEGAL DESCRIPTION 10/;334/'/ of,/o~
Z; ..,.-rv'-C'" (~,.,. p + f.! (/4-C
...-JOB DESCRIPTION 1000 sq. ft. or less
S "-'-(/r'r~ r-h....,..;.,c'-:? Each additional 500
., ld~ql:.qJltt."OF()lpOr t 1011
Permi ts are non- trans ferable arldffe)(~Ii,i:'~:lJI8;,on '"l!t~i9J;;t; Utility.
1f "'ork 1S no t s tart'ld "'ltlllnl('180rda%~(I()pt..0 b E~r,I~f't1,'l:n1! t,llQldlome or
of issuance or if "'ork is s.m. .. )'fSi'3ffi-:- ..lhOS~?(19~\j\k9Yl'~ibing
180 days, )tfJ\Ii02/'t!)t:7,IO ,0 0, rService orlcl'~der
II l_ r-,'~(' 1?2S ht. lcorJ!(:'JSul1l181tJ ,~ J
- \~r~t\" ':l)lJ mav' . I(NAtp th0. telephone
2. CONTVlCTOR INSTALLATION ONL;\iing the C811tBr. ~ervH:es t.oL,.1',eeders
l.( ~ I 'J~1l1" '\Jf) IIICn1i'v..
1111nbHr for tM or8nl1r~,~~",JJ,tll'l!11 on, Al tera t ions
Electric.ll Contractor JB EleC:UlC,rJR-<;;;'ici-[;O'oPRe-locatlon:
Address' 4065 1'1. 11th, #18
City
Phone
Euqene
687-S7_7n
Supervi.s,)[ License Number
3872S
Expira~i')n Date
10/1/01
104929
Constr lJntr. Number
Expirat.. n Date
3/14/00
Signatur lS~~
O"'nel's Nanel"""c!/-t k"'('''',-;;/,....
Address L"3:)'" C:> ~'-' ///"'A/
Ci ty ~ Ph~ne:J '-f (.,- W!i I
OIlNER INSTALLATION
The installation is being made on
property I o"'n ",hi~h is not intended
for sale, lease or ren t.
O",ners Signa ture:
---------------------------L-~7--c-----
DATE: lfhff '17
RECEIPT 11: () ~~7Z.)'J.
RECEIVED Ill': a...V Wrv)/
Ne", Residential-Single or
Multi-Family pe~ d"'elling unit.
Service Included:
Items Cost
200 amps or less L
201 amps to 400 amps
401 amps to 600 amps
G01 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
S,
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 1,0.00
50-
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps. 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to GOO amps $ 80.00
Over 600 amps or 1000 volts see "E" abov,
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One ~Circui t
Each Addi tional
Circuit or ",ith Service
.or Feeder Permit ~
E.
Miscellaneous {Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Co~n
s.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 2.00 L
no t includ,
$
$
$
$ 36.00
C; {., ---;0..-
?--r'6:ri
!C6~
40.00
/,0,00
20.00
,.
",'
~
A
r.
','- ,....
City of Springfield
225 Fifth Street
Springfield, OR 97477
(503) 72E,-3753
Tpansaction nIJ~bel" 033722
Ap~j,]. 28, i999 2~50 PM
Received from~ J~
Con1.I~ac~/Own FOR
Address~ ~065 ~EST
Ci t,y' EUGENE
E,.ECTRIC
b32 CIT'r'VTEI..;
liTH
St,; OR Zip:
97402
-Bui ld:i.ng-
Job .*; 990504
Di.::~s('r' -.i p'l; 'ton
Fee
Elec'l;r.ical
S1;~i;e P,ur';~hdr'(~e
37~ A(jm:i.n Fee
~:i6..00
2~80
i .68
~
Total:
'Amt Received:
Check to: 5842
..
.
1'.0.48
bO.48 Check
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