HomeMy WebLinkAboutPermit Electrical 1999-4-21
_,_. . ~;... ..t.." ". _ .
_ _.. .__~,,_ .4...*_....._,_.. ..... _.~.__~_..____.h..__\___.._....~...~._
.
. '"- : ,ClT
zoning. and does not require specific land
approval.
Zoning
LD(L.
lite l./ ~ .).\ ..&j "1 \
, JUit;nZed Signature M
'..,
City Job Number
ELEcr&+CAL PERMIT APPLICATION
19 tJ 'f eft,
225 FlFTll STREET
SPRINGFELD, OREGON 97477
INSPECTI1lN REQUEST: 726-3769
OFFICE: 726-3759
3, COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION
/ (; b I ---r-^.." C; '\.--:'=rr~::.;:~gon ~'" rEi~N'5tre~)~i:Al?n t ia1-S1ngle . or .
, . . - db th JJd-D!mN-Y pel' d"elhng unl t.
LEGA~. DESCRIPTION foll?W ~ules adopte Y e :Slih~~tt&l11uded:
.jl1l7~2Y'~/_'";~-~f~@l!1rl-G~nter. Those ru r t ~ Items Cos t Sum
, III v"n :>O<'-Vv ,itlO10through OAR 952-001
JOB DESCRIPTION 0090. You may obtain copie9.~~e,f!JI!E'f\~y or less $ 85.00
1-l \/ A-r calling the center. (Note:.t~l!M~Qa\J.lJ.ltional 500
numDertortne IJregon Utlhtl/;t!l9tl~tal(Rl1 portion
Permi ts 'lre non-transferable anl!:El!ltlj:1iJl;e-800-332-2~Mt€of $ 15.00
if "ork .is not started "ithin 180 days Each Manuf'd Home, or
of issuance or if "ork is suspended for Modular'D"elling
180 days, q1-{~5 Service or Feeder $ 40.00
2. CONBACTOR INSTALLATION ONLY ,B.
Services or Feeders
Installation, Alterations
or Relocation:
Elec tric"l Con t rac tor JB Electric, Inc.
Address 4065 W. 11th, #18
200 amps or less
'201 amps fo 400' amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Ci ty
Phone
687-5770
38725
Euqene
SuperviS0r License Number
Expirati9n Date 10/1/01
Constr (Jntr. Number 104929
$ 50,00
- $ -60:00 -
$100:00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expira ti,n Da te
3/14/00
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Signatur L~~cian
N"J
D.
Branch Circuits
~ ,....~t'~
-
$ 40.00
$ 55.00
$ 80.00
see "B"' above
Ne", Alteration or E~tension Per Panel
"
1 7c-
One Circuit ~ $ 35:00 ~
Each Additional
Circuit or "ith Servic~
or Feeder Permit ~ $ 2.00 ~~
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
The installation is being made on
property I o"n which is not intended
for sale. lease or rent.
E.
Ovoers Signature:
--------LTf--,r------------------------
DATE: 71 HI f1
RECEIPT ~: O~~ ~~~ ,#
RECEIVED BY: ~ t.l,....r
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20,00
$ 36.00
-
~I ",,0:::
,::.--
i .:J....- q,b
?a~
./ I