HomeMy WebLinkAboutPermit Electrical 1999-10-1
'\led has the following
,he tollowlng ploleCl e.e.qU~:~ specifiC land use
eS dOSS not'
%onlng. ~n ~ 1..-
225 FIFTH STREET ~OU~'rD r -ELECTRICAL PERMIT APPLICATIaN
SPRINGFIELD, .oREGaN a ~ _ . o(]J q C1/ CI
INSPECTIaN REQUEST: ~gtgtl\\J1elhnI!Code ~ City Job Number I 20,
.oFFICE: 726-3759
3. CaMPLETE FEE SCHEDULE BELaV
1. L!lfATIaN ~N ALLATIaN \."
.~U cr::n t' Jt.._ CMJ'U
LEG~DESCRIPTION
I,/) Z .50t'Jfl 0 ']..1/)/
A., New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
JOB DESCRIPT}:aN .
~ LIt;At.-<--' Ct--..P
Supervi.sor License Number 32?2 -.s
Expiration Date
/6 - /- tJ /
Constr Contr, Number Zf) -/C/Sc...
Expiration Date /0 ~ /- 77
~ of uP~Zlectrician
awne;s Nam~~C(.( S7())4~!o H ,/llfO..../ "';' D.
Address2A~'l. ~ .t.dl U
Ci ty hJaf'r\Q...... Phone .
OIINER ~STALLATIaN
The installation is being made on
property I own which is not intended
for sale, lease or rent,
.owners Signature:
---------------------------------------
DATE:
RECEIPT 1I:
RECEIVED BY:
It ems Cos t
Sum
2.0.0 amps or less _,t:,.of,\$)l'5a, .0.0 )V
201 a~~? ,tl?'l:{<,ogg'amp~~ ,v;"=_~or.$J\60~OO
40p;\ampsl\0 ' ,9,o'o'e,!ri1P,S \)" ~. ,. :te $.~oolr60
60fu\'i!ll)pS\\rtp.~~H9_~n\l!lpS IUI"::: ;: Po ,,$:+-}Qt',OO
al<l'D~i\i!900) <;1)!P'~/U'PJ~~,s3Ugll v: t'\)Eo$,:tQ.9,; .00
Reconnec tZOn'lX)bta'\{1 Comes UI \ $ ,,/-0 ~ao
10"',...'- a eap""""-
no~O, '{au ma~~~\C>l,lNate', t~~ ~1~I;\icatiOl\
Temp~~~R~tSevv~E~,sne~~te~d~r~
Ins t1l:11 a,t.i:on \i1fA'l!tPera t ion/;6'r.4Reloca t i on
l\ut!\Uv. ,- , ' 1-l:luU-~'--
, cen_ellS
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps -----
Over 600 amps or 1000 volts
C.
Branch Circui ts
$ 85,00
$ 15,00
. $ 40,00
$ 40.00
$ 55.00
$ 80.00
see ItB".
above
1000 sq,ft, or less
i Li'R.,l..!:\tIS Each addi tional 500
~(,II 1:;, sq. ft or portion
Permi ts are non-transferable~ ~'l'rSHALl.~~I<AA!~""nRI!
if work is not started withi ) ~ -'El1'C'h,rMlln'ot''ll Home, or
of issuance or if work is su UEatUNDERTH~E~~IDring
180 days, COMMENCEDORISABAill~OreFeR Feeder
2. CONTRACTaR INSTALLA20N 00l\180 DAY P,E. RI\?P, Services or Feeders
) Installation, Alterations
Electrical Contractor 't!:tUlAJ161I>CT~L or Relocation:
Address PO, ~X ?JSD 3>
City DJl9I/rjro Phonet,9'/- (PAe,-o/,S
.'
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
.one Circuit
Each Additional
Circuit or with Service
or Feeder Permit S
E.
5;
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TaTAL
...J
$ 35.00
$ 2.00
/:,. .
not included)
$ 40,00
$ 40.00
$ 20,00
$ 36.00
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