HomeMy WebLinkAboutPermit Electrical 1999-9-20
,I
I
The following proiect as submitted has the following
zonIng ana aoes not require specific land use
approva, L 0 0
225 FIFTH STREET omn 1'\
SPRINGFIELD, OREGON 97477 9 q - ,;10 ~ 9
INSPECTION REQUESTPate7~1tt9-
OFFICE: 726-3759 ,,",,"onzeo S'gnature (_'X1
U 3. CDHPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION I " ,U ,'J1"~~'I".. yOL' (<.
/o..~.:l. /)' -l. ',.. ()r ,A. New-RE!sfd'ential-Single or Ut IY
, , ' '" '-\.()O tM\Yil'ti~F<imrlii)?' 'P.'egv ciweliJ'ngn unJ:'t'1
~~-=TPTION/.r(1) 05;)'/0 I, \lrs~'fyi'8e'In~:iuci~dlr' ,q,,~,"._;~..'_I.1
~.-~ _0=1'_':""-" inO,"H\lo~-Ol"-l""\' ""out' OAR:-;52,u01,
_ ~~_^" EVOII:lI=II= IHl!!:VVI9lo1W ~ , 'Items I Cost
In''''' c:ro.m-;:o . <U. ' OORO YOll ma\' obtai,' cople~ U1111'- ru as uy
JO~NDERTHIS PERMIT IS NOT 1!0001rsq'l,€fi:3.ntor \iess.'hE: tZI€,~ho$e85. 00
.~~n('\~ IS ABANDONED FOR IEa'Cli'eilaal:t:illnal:J50011i1y "v,""cat,on
sq. ft>'ot ip6i(fon~;" '::44).
Permi ts\I'a'tG!8I?l~h>Y?ffllffi'rable and expire thereof $ 15.66
if work is not started within 180 days Each Hanuf'd Home, or
of issuance OL" if work is suspended for Hodular, 'Dwelling
180 days. .::#' e;'I-'1 b1 Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Ti5 ~/N+r';r:Jr",c,
/I -th ~ I <K'"
Address ~/)t.. C; I, /
Ci ty ?,' J Phone (,., ~ 7 r:; 77"L)
Supervisor License Number ~~ 7::J. C,
Expiration Date 1~~1
Constr Contr. Number / ()t.{qA.-Cf
EXPira!j Date ~~<-j~~ "
Signatu~t~iict:an
\
Owners NJke /:r"..,1/1 h ....~ '_' ~ ~';-,
Address {" ""'., 100.J-. rlJ;'JL / ,,' ~
Ci ty M/7 ' Phone.lJ::.c....; 174....
-0./''';::' ~
OIINER INSTALLATION
The installation is being made on E.'
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-~~~~-7'?~'7~---------------
RECEIPT #: () ~;5{da(p
RECEIVED BY: n, /)'1t1 f'1111/( (/
'ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q q J)3 7
,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
Ov~r 1000 amps/volts
Reconnect'Dnly
Sum
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
.
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT 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
.'
Ne~, Alteration or Extension Per Panel
One ~Circui t
Each Additional
Circuit or with Service
or'" Feeder Permi t ..i.. $
I
His6ellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
~% State Surcharge
3% Administrative Fee
TOTAL
L
$ 35.00 ~ r; -
2.00
L
not included)
$
$
$
$
-
-=37 }-"t;!
"} ::-:--
,0.--
~O~
40.00
40.00
20.00
36.00