HomeMy WebLinkAboutPermit Electrical 1999-9-22
The following project as submitted has the
N,.1.0ning, and does not require specific la
1..I;r~~!~, L (') R
TH/S PERM Zoning , ~
AU /TSHAII t"Q~'::l.. _,
T~/!{it:E ~~! ,(;uucAL PERMIT APPLICATION
97477 COM_~~4flI/;I1iiEt'l"H: 1'" ~:(
726-A7# OaR/SABAN' M~NOrob Number Cf'1 D3rJ..-f
1800AYPE DO Ol=i
R/OO. 3. COMPLE'i'& FEE SCHEDULE BELOII
LOCATION OF INSTALLATION
/.ttf tJ</ In~0! J-h/A, ?7.
LEGAL DESqIPTIOl}- ......,'\
I(,ov()1.. :J..q.." b :::> <60 U
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
,I . Ins talla t ion, Al tera t ions
Electrical contractor[}lnr1'd. 't/nll.,,,nt-VTor Relocation:
Address fJ. tl, /{/J" '{/}~v ,200 amps or less
201 amps to 400 amps
Phone~/,tlk"-().il7T 401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
JOB DESCRIPTION
S't,J'.ar Cb: <;;"/~'''''/ (;fl7/'-Inl ,on""-9<1
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
Ci ty
?, 1/(1 Nl/
Supervisor License Number
8.q~1 JLE
EY-pi ra t ion Da te Iv I t}CJ
Constr Contr, Nutber tj'if11/5
Expiration Date tI 100 ___
I
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
. thereof
Each Hanuf'd Home, or
Hodular'Dvelling
Service or Feeder
uni t.
Items
Cost
Sum
$ 85.00
$ 15.00
,$ 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' 'or less
~2~1 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Namek't",,;" ./omrlLArIurn IknuK
Address 2:<'7 <;;-"'n~h <.InCA P'lAn
(J One Circui t
City . ~/Jr'n9/J,id p,hone...i.J"J' '''J1.i:fJ.L Each Additional
Circuit or vith Service
O\INER INSTALLATION,V17~'~'C:88'008' ~ s; ..';.dJ or Feeder Permi t
UO!le:>!I!loN ^I!I!1n l!o6aJO aLll,lol Jaqwnu
The ins talla t ion fils)lbe-ing,lI,!!ad,e'l\qnlalua~ ~u: JE;;,e:>Miscellaneous (Servicel feeder no t included
property I ovp. ,i(roi..<;hJ i'1;1 r.OJ3!~I].J:<j,'.'sI.\;!! i\{~U; 'loA Otiii~ach in~ ta~la t ~on
for sale, lease~gB-c.S'<PJ\;'Ou6noJulOlOO".I)U'GC;ti -JI;'Or.l:\mp or l~nga~lon, $
. ulJOnas aJe SalnJ 3soUl j'J.ua~J .lUljdJ'JoI'~lg~/Ou tl1ne Llgh t lng $
O\ll1ers Slgna tur~\~!I!ln u06aJO a41 iiq paidope ;alnJ M()1I0~~m~ ted Energy IRes --L- $
Olnoil saJlnbaJM'f!.; ODf'J(.' 'I JIj f\l3' ;..~Llml ted Energy/Comm $
.f..f). Qtl
I. to
_ '1Q
'7,1., 00
DATE: q-.);)..-Oz"7
RECEIi!"i" *: ,( 1 <,7")(tJ~
RECEIVED BY: ~,
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see ltBll
above
.'
Nev, Alteration or Extension Per Panel
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00
40.00
40.00
20.00
36.00
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