HomeMy WebLinkAboutPermit Electrical 1999-12-29
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(\\":,~'2?5"FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
The, following project as submitted has the following
zonmg, and does not require specific land use
approval.
Zoning /... LA I
Date ,.;;> ~.:l<7 - cr q 'll.,EGTRICAL PERMIT APPLICATION
974AJthonzed Signature i\~ q <1' /!-, /1 ?
726-3769 ,,~ty Job Number II (/d /tY
1.
LOCATION OF, INSTALLA!;2l'l/A ,. I
b/ J 2 tf f1(trAN/IN
I -
LEGAL DESCRIPTION
/1(J~ '!,4-4./ /'J/9@
JOB DESCRIPTION
fIU7f...K' r'/;2CI/I r
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if work is suspended for
180 days. '
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor 4'1frI~ a/ ~rlfC.
r .
City
RoY
IE//6l.1.1t.-
23/51/
Address
Expiration Date
Phone 3,/'I-'I'l;z.r'
~393- .s
/,1- / -uJ
~''f7
j'!1 t?f'- fJ I
Supervisor License Number
Constr Contr, Number
Expiration Date
Ovners Name
Address
City
Phone
7f7-g?Q
Ol/NER INSTALLATION
The installation is being made on
property I ov~ vhich is not intended
for sale, lease or rent.
Owners Signature:
------------------0- --~~-------------
DATE: /2- 2-'7; J!'i
RECEIPT 11:' , 7_1
RECEIVED BY: ~J~~r
3. COHPLETE FEE'SCHEDUl..E BELO\l
A.
Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft, or less
Each additional 500
sq. ft or ~ortion
thereof
Each Manuf'd Home, or
Modular 'Dvelling
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 1000 amps/volts
Reconnect Only
Items Cos t
Sum
$ 85.00
$ 15,00
,$ 40.00
$ 50.00
$ 60,00
$lOO.OO
$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 Circuits
$ 40.00
$ 55.00
$ 80.00
see~"B" above
"
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit I
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 35.00
36,0::>
$ 2.00
not included)
$ 40.00
$ 40,00
$ 20.00
$ 36.00
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