HomeMy WebLinkAboutPermit Electrical 1999-11-16
The folloWing project as submitted has the following
zoning. and does not require specific land use
approval L m~
225 FIFTH STREET Zoning ,
SPRINGFIELD, OREGON 97477 \ \-, I,..,.q L1
INSPECTION REQUEST: 726t~.j/b~ c..,
OFFICE: 726-3759 Authorized Signature ~.
1. LOCATION/ OF INSTALLATION
/ ?I r. 0 r p-u/t...4 S'r ' A.
, LEGAL DESCRIPTION
! 7 (]s ;;l, 1m") 96m:)
JOB~ DESCRIPTION.,,"" ,~" ,;;quires you to
~, r ufAJ!ii{vuleS ".5fY6$iI,Q"t ~~e Oregon Utility
NollilOOllon 1,()f11'" Tllose rules are senonn
Pe rmi \~ ~:::!'.H'.:J9.9~.t t r.ansfera~ileJaiid~:expHe
if ':'0~~9~~'l'n2~n.~\t\\1i,~.~P .;';!~.thiri t~80udaysJ
of lSSU~}a<;;El.~%;;ttf\'t'Blt\li!!H!U_Sp.e!\ded1~for .
180 da~fu"mbEH for tht Or11lpon Utility Notification .
rco....I.'.:r "' .~.,.. ..,'.J.....~~.14)
2. CONTRACTOR INSTALLATION ONLY , ,B.
'Electrical ContractorA.Dt S'uJI1.[h.
Address IC:-o I tJf'lA/L ( C.d /., (f
f
Ci ty ec...-"'7~ Phone J '-( 2 - ( l ( f
Supervisor License Number f?C; ~ YL. f2
Expiration Date' rOa/01.
Constr Contr. Number. c: '?"? if C{
Expiration Date >II? (err.
S,'i~a~re of Supervising Electrician
MJ---. ~
Ollne:s Name_ .v6~ 1Jf.1)""---
Addressl ~o l ~c.--, ,
Ci ty~C\ lIQhhone 741 J-t;{)--
OVNER INs:rM ~TION ,
The installation is being made on
property I olin IIhich is not intended
for sale. lease or rent.
Owners Signature:
DATE~:;;~/I~-~;;;-?--------------------
RECEIl"f 1I:_ f)}rA /:IV ( .
RECEIVED BY:..l). /Y1(,f CA a cl-U
-HLECTRICAL PERMIT APPLICATION
City Job Num~er qCj 1570
Nell Residential-Single or
Multi-Family per dllelling unit.
Service Included:
COMPLETE FEE SCHEDULE BELOV
Items
Cost
Sum
1000 sq. ft. or less $ 85.00
, Each addi tional 500
sq. t.1~Q~rnortion
therOOf 11\,i~: $ 15.00
Each J:l~llWe:~MIli61WII.t. EXPIRE IF THE WORK
,MsodUJ.Ili~l;e>>ll~\JDERTHIS PE~M1TI~I\IOT
, erv~encrr"teecter . "40. 0
COMMENCED OR ISABAI~tJOWD FO -
Serv i AflfiI 'fro &!i'1!!tmOD.
Installation, ,Alterations
or Relocation:
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
$ 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 volts
D.
Branch Circuits
Nell, Alteration or Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
,5,
SUBTOTAL'OF ABOVE
7% State Surcharge'
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00'
$ 80.00
'see "B" above
, .
$ 2.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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7 _ <"-
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