HomeMy WebLinkAboutPermit Electrical 1999-7-30
The, following prOject as submitted has the following
zoning, and does not require specific land use
approval.
Zoning
-1-/-(
225 FIITH STREET Date ') - ~o - C, c
SPRINGFIELD, OREGON 97477 J/ \ \
INSPECTION REQUEST:Aut'l"l~~'!l~i99"ture '"!::M)
OFFICE: 726-3759
1. L, OCATION Of....rNST~L!lTI.PN DI -'
~5ll f-Y'Qn \L.\\h n VJ
LEGAL DESCRIPTION
/1rJ1,3l/?J..-
00 'lb'~
JpB Dt:SCRIPTION
A-CL<)
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Expiration Date J(\.-I-qq
- ,
. Signature of Supervising Electrician
'~-P~
Ollners Name ROYY1Qt\\'o. ,
Fron k.lin "Blvd
'Address 1nzD
Ci ty 6.lJCR Yl P
o..J
OVNER INSTALLATION
Phone
The installation is being made on
property I olin IIhich is not intended
for' sale, lease or ren t.
OllDers Signature:
.. .._--~---!------------------------
iiA~E: - 7/ ~ 11
RECEIPT U: {j ~ ':>O)!"( ,
RECEIVED BY: M .(,.).",..j/
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number C(9oCf 71
3. COMPLETE FEE SCHEDULE BELOY
Sum
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
A. Ne~ ,Residential-Single or
ATT~!I.ltJi\q;:B.rn'i1-Y'':pe'r3CdlleH<ingouni t .
, followg-l;!le.siftl:l9P1i\~IDud'e:o':)regon Utility
Notification Center. Those rules areIst'ems1h Cc s t
in OAR 952-001-001 0 through OAR 952-001 -
0090. mOOallCPbfail;\ copie>les's.he rules by $ 8~. 00
callilJSllth> caddatt ~nW. ttli'p9!lephone
numbestllJ" ttfa: Co$"g.v.o!;J~ ~ WNotification
tnel',eoJl-800-332.2344). $ 1~..00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder .$ 40.00
B. Services or Feeders
Installation, Alterations
Electrical Contractor Px I" I rlers ElerJV1"C' or Relocation:
Address lC1 S Macl,''Soh NOTIg;: amps or less
, THIS P~i'lMlB.lDli~LteXlillmEl/nipst: VVUHI\
City E~ev)e Phone 4-'6S-D97_7 AUTH~::E~I!Fnf~R~T.IS.t>lOT
Supervisor License Number 2 q 70 -.s COMM~~ ~~6~~lil~~~FC~
(J() ANY1~nJli:alOlOnly
Expiration Date 10-/ - rr
Constr ContI'. Number 1 n-/2 C.
$ 4(1.00
$ 55.00
$ 80.00
see' "B" above
"
Nell, Alteration or Extension Per Panel
~5.oo
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ~ $ ~~.OO
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited' Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
18t. State Surcharge
3% Administrative Fee
TOTAL
(0.00
not included)
$ 40.00
$ 4-0.00
$20.00
$ 36.00
41:00
. (I ,
-I. IU
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