HomeMy WebLinkAboutPermit Electrical 1999-5-19
The followin .
ZOning, and ~prOJect as SUbmlNed
approval. oes not require spe hafs the fOllowing
. CI Ie land u
Z "- ' se
225 FIITH STREET __Oat onlng'd:: A-f f ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON'll4L,e- -'/~ -' () I] ~
INSPECTION REQUEs~t'IItbai1ii.~ t i/.~ City Job NU1Ilber...::2.::} (
OFFICE: 726-3759 a ure - ~ -
____ 3 -:- \.-Ul~~ FEE SCHEDULE BELOII
1.? W~~ION"-oF INSTALLAUQtj /).AJ.
( 1~ l:) (.-f1nv../ / al2.-I)L rL~'
/. -7 LEGAL D.&S.CRIPTION I 0
f~ 6L../...C\D 0 c)
. . es~OU\ll
JOB DES!;~ONl'l' reqcl\! 00 UtilitY
l>1IEN1\ON. <on..,rl 0\1 tM ore~.o <<At \ortl'l
\0\\0'11 rU"'" 0;\.... r. 1\'10Se rU\O~ -' 952-001- .
P\i'll~~~iQfl.-QeIlWntl\~g~lO. ~ 'expire
i. ~!i%-ORai: b~~i"'ll..iJllle!W<jl\~~~\'I6!l.e days
0, .a,an'dE!a(lp \llH~~" t~S'~O\"R,'IDlted for
18 ~filil tM ceO oregoO Uti\l\'/ ~)
"mberlort\'le. .... 00_332-'2.34 .
2. ~5NTRAJmJR"iNtTALLATION ONLY B.
I
Electrical contractor! cE. E/eclnc..Inc
Address 85014 "l'pO(\(g...- \-Inll,)(.w Rd
. Ci ty _>::'~ 40 nQ Phone.....18L.\ ... q484-
Supervis:or License Number 4\ I Y -S
Expiration Date 10/1 /2000
,
Constr Contr. Number I 0<;415
--:sf :JO/ 2..0rn
Signature of Supervising Electrician
__ S:;c9- Q~ OuAen .
_ ,,_ ^r;---.. : D Branch Circui ts
Owners Na~"Y7~~ tYla(M1~"
, New, Alteration or Extension Per Panel
Address) d... <( . fYlCu-H.n!1. oJ UO:ne lCi rcui t
Ci"'u"? /)PJ Phone ~> 7~ Each Addi tional .
~ ~ Circuit or with Service
or Feeder Permit ~
Expiration Date
OWNER INSTALLATION
The installation is being made on.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------7>--7.;.---------------------
DATE: 5 -//-71
RECEIPT t1(,~V,,77 '
RECEIVED BY:/J . I YJ a (I)U1../I' ()
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
l~T~~~. or less $ 85.00
E-f'IllIs~' . nal 500
:;.<4. ~tin@[f~I1e.~~~PIRE IF THE WORK
"l.II\!!iIOOfZED UNDER THIS EEaMrr J~NQi,. 00
~~~eM~~~DONEDFOR .
'"Se'rViltQ~ f'EiIt!€\fh . $ 40.00
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 1000 amps/volts
Reconnec t . Only
/'
$ 50,00
$ 60.00
$100.00
$130.00
$300,00
$ 40,00
.9.c:8
C.
TemporaLY Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation .
Pump or irrigation
SignfOutline Lighting
Limi ted Energy/Res,
Limited Energy/Comm
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps OL 1000
E,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
$ 35.00
$
2.00' /,;J..oCJ
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36,00
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