HomeMy WebLinkAboutPermit Electrical 1999-7-13
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z:onmg and does not require specific land use
approval.
Zoning
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~ City Job Number
V
3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INST~LATI?N ,
I m/nt'V?1.,f.oI lX:i.n-hsf: (A'I/(~ A. NeIJ Residential-Single or
, 17631-)./3 ()2S00 Multi-Family per dIJelling uni t.
LEGAL DESCRIPTION Service Included:
0050 Gamg r:jJA'"m Rd. Sp--r~J/;efd
JOB DESCRIPTION 1000 sq.tt. or less
HVA-c.. herolf-tJ.::P Each additional 500
. . ATTENTION.t1!"'OJI~ f'.'R9 rL~CUiM,<)lbu to
Permits are non-transterable and explre' ~'[l\~1Ilo Jh O~ QonUtilitl'
it IJork is not started IJithin 180 da,J!lIlOWrUles'E!P<!H1.!~IY tF,\~.)lgp/"e e\~
of issuance or it IJork is suspenaed l'iRI~ication cerM3auilfl:<;€'IfWil~. 'bg~2 ~~h
180 days.. . inOAR952-001s~m,q!:'lf08~nF'e d~l: - '--
0090. You may obtain copies OT e rules "y
2 . CONTRACTOR INSTALLATION ONLY callin!Jlthe 'Se'f.V1i.c:l~~t'8'~hN~'8~pg~e
number for tDfis.tra1.Ilr@~.Mitv "111~~~U~l{ ons
Electrical Contractor-.Ei!3ene Fkt::Ji/c.- Centori~R'eil!6caJflj'o?,,!44). .
Address /;).0 MOYIYoe... 200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
Ci ty C?11.CfeJ1e.. Phone 344-35&.1 401 amps to 600 amps $100.00
(J 601 a~&e.to 1000 a~~ $130.00
Supervisor License Number 109~S. Over ~/QWNlillt'S"l:I3cf.;rliOMe&-Yoo
Expiration Date iD I t/ 0 I R~'lJV'l~f:tJSIH1.e::~~N~l'Vl'Vo%O
C. Tempo~IsJls.'eJ1I:1~~~Nq.~~/:I.I.Dtt.
Constr Contr. Number &6 9D),00 Installation, i\."I1.''Hal{fi'Sl!JW8~'S)HLation
Expiration Date \ q / 11/0 I 200 amps or less :301:LA~00
201 amps to 400 amps $ ~~.OO
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
225 FIFTH STREET
SPRINGFIELD, OREGON 9741J/Jte -
INSPECTION REQuEST: 72~TIJ.zliz'td Signatu..
OFFICE: 726-3759
Signature of Supervising Electrician
?~~.~.
OIJners Name l/YIfYI1MIIJRL ~dJf2f.cb.
Address ,~Df)D G-t:u-ne.-hrl"fYt RrI
Phone 72fp-781l-!
City
~.prPi d..
OIlNER INSTALLATION
The installation is being made on
property lawn IJhich is not intended
tor sale, lease or rent.
Owners Signature:
DATE~~-----------------6j7'1;7;ff7f---~--~
RECEIPT II: /)"!J 'Ii /I Il. 14.#
RECEIVED BY: tJ/ (,J Vi
~~CTRICAL PERMIT APPLICATION
f70 )7 )
D.
Branch Circuits
NeIJ, Alteration or Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res .
Limited Energy/Comm
One Circuit
Each Additional
Circuit or IJith Service
or Feeder Permit ~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
It ems
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
I
35.00
$ 2.00
tj.oo
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
39.00
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