HomeMy WebLinkAboutPermit Electrical 1999-6-2
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The. following project as suhmitferl hM the following
zomng, and does nol require ~pecjflc lane use
approval.
Zoning
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Date
u\ fIL-
(., -d-- 0-, '1
,.<M)
1000 sq.ft. or less
Each additienal 500
sq. ft .or pertien
thereef
Each Manuf'd Heme. .or
Medular 'D~elling
l:JodfJ3JNvice era~v.\tQOgl)" $ 40.00
1. OQN\t8\t Sll:Jn I V It
2. CONTRACTOR INSTALLATION ONLY ~S/i,fWl.Jj{;j~J?fr~~\!]g?PN3l^Jl^JOO
)/I:JOM 3R.f. t@.~;l,p.1. ~.9ti'}l"lfHl~PW7It
Electrical Con trac ter kJ, for pm,~ ~/f!!S1LI-f;-I'~ . .or f(fil'tJ~"01ttHS1.Jl^J!:I3dSIH.L
Address t3. o. (j eN' .1 'IY 33 200 amps .or less :30" ON $ 50.00
~ 201 amps te 400 amps $ 60.00
City WJ-",., Phene hkJ-;~/V 401 am[ls to 600 amps $100.00
601 amps to 1000 amps $130.00
Supervisor License Number '3 Lf''17 S Over 1000 amps/volts $300.00 'J
Reconnect Only $ 40.00
Expiration Date /0 -1- 0/ ATTENTION:Oregon law teqUlrtls you 10
7-0 \:3 8 l' C. Tilllip.or;u'o/5 Sl!iIrl'::i,~e'SJ 'O"tJ <Fel(difr!Stility
Cons t r Ccn t r. Number ~ ;;"':;'j c:. ~l)~~rotka',t(i;onr,'3rAllt~ t;,iJon e03:SRllitoli'a t i .on
in OAR 952-001-001 0 through OAR 952-001-
,t,f:lflOi'i/llf~'riffi'J ~~{h copiA~ of the rSle{j.<b)OO
~O fallt'/\I ~hc eet'tR.,.Q. ('/'Me: thA tAIApt!bni5 . 00
O'hnfn&~ l;Omle63PdrtHlP;il;')'I\I'l.'ifi&it~9,. 00
Over 6'Cdeamps. feO^1.0 0 :VQJ",s see "B" abcve
..J mSl!~ :-0 v. -(!.:J...,..-rJ.
9i'4l/>9rlzed Slgnalurp
726-3769
1. LOCATIllli. OF INSTALLATION
91 )oJ I'\~ 00
/ r:tfj}JfOWYb 1-00
JOB DESCRIPTION
.~ f?u ---0 d.. A-te ~~
Permits are ncn-transferable and expire
if verk is nct started vi thin 180 days
of issuance .or if vork is suspended fer
180 days.
,-
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Expiratien Date
/1l-1LY~
Signature .of Supervising Electrician
.,q~~,-A ,Ai~.
I . -
Ovners Name FD cl eU+k
~ODf~
Address 39,\7\ ,1Jq<;f& Ro
Ci ty)- p,'-1 Phene-1-L/b -d)-<}_("
OYNER INSTALLATION
The installatien is being made .on
preperty I evn vhich is nct intended
fer sale, lease .or rent.
.
Ovners Signature:
~~~~~---~7~il-?17f-------------,"---
RECEIPT : I ( ,'.. OJL/ 2ft C(
RECEIVED BY: y-. 'j/VI '/-1 _
3.
iLECTRICAL PERKIT APPLICATION
City Job Number qq ()7 )~C/
. . t
COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Ccst
Sum
$ 85.00
$ 15.00
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D.
Branch Circui ts
Nev, Alteraticn .or Extensien Per Panel
,.
~o
1.60
$ 35.00
One Circuit
Each Additienal
Circuit .or vith Service
.or Feeder Permi t
-J- $
2.00
E.
Miscellanecus (Service/feeder
-Each installatien
Pump or irrigaticn
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Cemm
nct included)
5.
$
$
$
$
37,00
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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