HomeMy WebLinkAboutPermit Electrical 1999-7-16
The following project es submitted has fhe following
zoning, and does not require specific land use
approval.
Zoning
225 FIFTH STREET Date -, - 1(", - .... "l
SPRINGFIELD, OREGll!l\h~Mlnjgrlature ~
INSPECTION REQUEST: 726-J/69
OFFICE: 726-3759
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1.
LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DE,sCRIPTIO.N,L
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
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Silr~Of ~ectrician
oLName fAM Fu!J- 7 Flow //e..!,':' D.
Address /9 J/ O"r.! V
~lJrol
City
Phone
72. (,- ()/ 00
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
-----.----. -----. ---. -------~r.--!----------
DATE: . ''1.'(, ff
RECEI~i iI: hW!i'1/J ~, /l '
RECEIVED BY: c..( WN'
ELECTRICAL PERMIT APPLICATION
City Job Number 9903:s '5
3.
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
Items Cost
Sum
NOTIIO sq.ft. or less
ach additional 500
THIS P ~~rr ~1tI~~ Ep'8iliIIHliilliE WORK
AUTHO~vNbERlliISPERMITI'3~IOT $ 15.00
COMM~~um\!~M~~~€OFOR
ANY1806le\YJ1~IOO. Feeder ,$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
Ins ta~~aSJ.RJ1;,yQ\Q~~era t ions
Electrical Contractor CiS 5l-f'"j.,:'-:.,_..l..tOl\l'Ole!l\ln~~ce~~:Uti\lty
(\ '~!'~~opted byt set forth
Address ~n f}j)Jc: 1~.:2. fo~~~;;~~1eoter2~()Oli~e~~~01-
City(~Vl?lcJ Phone 141~~~~;.~:;~%s';lf~: J~=~
I' , II '{jJ-iJ.'.' u cen~XNoDp~~~J I~f '!l.tiilPlPs
Supervi.sor License Number --1..ldR I Sca'hOgfe the~l'~r100\iN ~~volts
\ 0 0 I 0 I oumutlr or t l~.'!Ji'J1n,(ilCt-251\
Expiration Date - - Cener-
.. /'\14 r C. Temporary Services or Feeders
Constr Contr. Number ~IJ LJ Installation, Alteration or Relocation
Expiration Date H')-DI-Glut
$ 85.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
volts
$ 40.00
$ 55.00
$ 80.00
see nB"
above
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New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit I
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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55
$ 35.00
$
z.
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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