HomeMy WebLinkAboutPermit Electrical 1999-2-18
The 'ollowing projecl
ZOning, and does no~:eSUbmlttad ha,s the fOllowing
approval. qUire specific land use
225 FIITH STREET Zonlng.l prL-
SPRINGFIELD, OREGON mi7 ~ -I 'i' -"') 'J
INSPECTION REQUEST: 7i\,~-3769 ,. '\
OFFICE: 726-3759 A" rized Signature_~
3. COHPLt.~E FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION A I I t:N-;'jUN:Ore on I.' , ;.__"". .
/S-~1 UA/A.4.,f- fn/lr".....,~"~d )lab NeweR~s-l:aenta.al-Slngle or
Notification- C - ?p e >>1!l~WEE'a\'llill.t}iitper dwelling uni t.
, ' en,er. Tho!Sl!M!CiireIm!IUded:
~' OA~ 952-001-0010 through OAR 952-o01~ Items
- ?9C-. /~W '''''l obtain copies of the rules b
JOB DESCRIPTION calling the center. (N01lO11Ifu a.qeP'tlOn a/less
_"1 Ik.-It,,- CIIl-Ct-. ,h nU.4Jlle~~rM3.l1.~gonElli(jlyilJ!l~,~1 500
vamerr~ 1-800-3:1m23t~). or portion ' '
Permits are non-transferable and expire thereof
if work is not started within 180,days Each Manuf'd Home, or
of issuance or if work is suspended for Modular.'Dwelling
180 days. Service or Feeder
LEGAL DESCRIPTION
i7IJI 27<11 - OS/w
City
~fd
'~Of iZZlectrician
~lners Name . /.t;u, 5 ({/p, I tt-
Address /5"''0 S Lt:<<A!.4- >I'
Ci ty Sa tJ Phone 7'f7 -{ rz.. 7
011NER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
----------------Tr-7:------------------
DATE: 1 r tt'f1
RECEIPT II: (n)." 0 Z- ,
RECEIVED BY: t<.V w",""
ELECTRICAL PERMIT APPLICATION
"ity Job Number
fro J 5 (
Cost
Sum
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
. Installation, Alterations
Electrical Contractor6 ~ 5 GIe.ctV/61 Inc,. or Relocation: '
Address P.D /&)\( Ilj~ NOTICE: . 200 amps or less
Phone 1i!tlts~~tSH:ALL Ext~~~E~O~gg ::~~
AU I KutiILt:l/UNDER T~Q;LPi.i;iii~:$T B>N~qOO amps
Supervi.sor License Number JJpSl..~.."r-" OR IS ABOvl\len~~OOQO~ps/vol ts
- - ".-. --- ~el:'ollhe!i:t Only
Expiration Date l()-()I :-D~NY180Dt.YPERIOD.
, C.
Constr Contr. Number ;:;(()ILj(!..
,Expiration Date ID-() \-qct
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
.'
One Circuit I $ 35.00 35""
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00 ?
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation ,$ 40.00
Sign/Outline Lighting $ 40.00
iLimi ted Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ?7. 01/
5% State Surcharge I.KS
3% Administrative Fee , "
TOTAL 7&), '1("