HomeMy WebLinkAboutPermit Electrical 1999-9-29
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The following project as submitled ha~ the following
Z~~~Q,,.,aNndl.dIUoes.notL(eqUlre,Specific'land use\ to
8Wroval 1\1.Ul"':YUJ i IQ~J . ......-.. - - .-
fo!I?W ~d~~~adopted b\ili:f~eg~.n_~~;~itYI
225 FIFTH STREET I\If)tI4catloncemer.""I\'~'i"l'''i?:'I.''_.' EUECTRICAL PERMIT APPLICATION "
SPRINGFIELD OREGON 91l$j1,. . --. M....'L,,;::):;J,..C';I, . ,~q!'i2-001. ,. a . '7;" c:: '
INSPECTION REQUEST: l~".[l~'%~~~t~~~in'~~9S of the rulelcJ.,ty Job Number I 9 1.1) ~. .
OFFICE: 726-3759 calli.ngthsce.n. ter. (N.cll::':tnel<::'''''''''V'''' *
..~lwforthe Oregon G(2.:y I\C;;Q!1gJffi.:]~ FEE SCHEDULE BELOIl
1. LOCATIqN OF INSTALirAUON' ., to' i~ "_l:;r~_3~?,,"q44).
d/ t;7) ./ftt:tf. sT.iI f ~C;JFi//L' C:K, . A: New Residen t ial-Single or
L...Q...ufl "\. Mul ti-Family per dwelling uni t.
LEGAL DESCRIPTION 'Service Included:
/103'1-7/0 !)l(c;otJ Items Cost Sum
JOB DESCRIPTION
~c..,rh-a:r.a.~ /14""" -#'dJ?<>t'ZtcITH-J' .fI,,/;>'=
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days;
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd ~ome. or
Modular Dwelling
Service or Feeder
B_
Services or Feeders
Installation, Alterations
or Relocation:
$ 85.00
$ 15.00
! . L/6
,$ 40.00
2. CONTRACTOR INSTALLATION ONLY
Electrical Contracto~~4k ~A..~cJ~
. Co-' '
Address 26C('/t: J/r/J .1t #'2- ,20.0 amps or less $ 50.00
. _/ f ~g~'" : 201 amps to 400 amps $ 60.00
CityG.t2,.,n?;~ ~ Pl1I:ll1~ t" .-'-C.9lfAti.. 401.!,~~. to. 600 amps $100.00
,1m; ,",",lIT'; EXPIREIF6l1Ew~ to 1000 amps $130.00
Supervisor License Num~~THISPEAI.'ffl1fS~ amps/volts $300.00
COMMENCEDORISABANDON~D~ect Only $ 40.00
l'II~1 IOUUAY t'l:HIUU. C_ Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Constr Contr. Number
Expiration Date
, Signature of ~pe~vising Electrician
--::Lr~~ '
P' ( - CV'
Owners Name /iJ tl. Wa In 1/It4 ~
Address)/'>O 14", ~/<1 k
)/1ftcl
City
Phone
9
18"8"- J" 31
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE~-----trJf~-r~1';r------------------~
RECEIPT 11: ,. 11. (}/'6) /"1- '- '
RECEIVED BY: t:I/ WpJ;
200 amps' 'or less
201 amps to 400 amps
Over.401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
.'
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
E_
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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