HomeMy WebLinkAboutPermit Electrical 1999-7-26
The following projecl as submlned has Ihe followi
zoning, and does not require specific land use
approval.
Zoning
7-~c.-"i"l
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ELECTRICAL PERMIT APPLICATION
8:~J- Job Number 000 % & r;!
225 FIFTH STREET D Ie
SPRINGFIELD, OREGON 97477 a
INSPECTION REQUEST: 726_J'AII9>rized Signalure
OFFICE: 726-3759
ct 3. COMPLETE FEE SCIlEDULE BELOII ~
l.; LOCj\TION 0 INSrA!-~TION c-~
G/-Ll.5L1 . ..5dJ'CCd: ...251,' A-N(~tr.~sidential-Single or
I ' 'f1~ltt"':Family per d...elling uni t. 1'1>'
j."/ LEGAL)?~PTION . / k"i...... THlsSEiRMII~IREIFTHEWORK
II o;r ()~ ;::)40c} u u AuTHORIZEOUNOERTHISPERMfti~f-JOT Cost Sum
JJ JOB !)ESGlu;~!?N ,CO~9iIQW.lMB/ltmNEOFOR $ 85.00
sz:>..I<() 7' (I,!.f-/ . AN'E~Dli.ll'~~1 500
1'1, I C::"'lul~:Vrb~UIII"1I\I reqUires YOU 10 sq. f t or portion
Permi ~19Vt\'!-llilofld~l}~tIf:f!ih.'~~~<)l..~.lSp"ire thereof
if ...~~flli%tllifbrt:elJ1farlllds,'!ll~IW!l[~I!Qt !l3!y,~ Each Manu f' d Home. or
of i~ali'<Rl5a,~Oi,f)()Ii6I!kr(~~A!I,lip,~ellof.9r Modular'Dllelling'
180 aQ91l-.~ou may gbtain copies of the rules by Service or Feeder
calling the center. (Note: the telep,hone
2. CONU'RA1!;],eaha;~~JffiR~NIMffltation ,B. Services or Feeders
Center is 1.g0n 3~::> ?~<I.t'. Installation, Alterations
Electrical Contractor Werlano-Electnc, I ne. or Relocation:
Address 870 W. 2nd SD. D
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
City
Phone liRS-'Sh'Sq
FIIOp.np.
Supervisor License Number __?ShnS
Expiration Date 10/01/01
Constr Contr. Number 58600
Expiration Date 1/23/01
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Si~~superViSing lect~an
o~rs Neme 1-)wLb..OJ t fYl<}3. IV D.
Address'::J...~Lt Jt.:',;:-,,'C<. c:... 5/_
Ci ~~( d') (at JaPhone 7Lfj- ??L1 7'-'
OIlNER INS LATION
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Ne.... Alteration
or Extension Per Panel
$ 35.00 35 (5lJ
J
One Circuit
Each Additional
Circuit or vith Service
or' Feeder Permit
$ 2.00
E, Miscellaneous (Serviceifeeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I O"'n ...hieh is not intended
for sale, lease or rent,
O\llle['s~Siglla ture:
---------~;'------------------
DATE: / ~ r;)-{p '---'17 , , .
RECEIPT 1\: 6~ '-f y~ ,
RECEIVED BY: /} ,rYJl.t U1Jf.t/ 0
5. SUBTOTAL OF ABOVE
5r. State Surcharge
3r. Administrative Fee
TOTAL
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