HomeMy WebLinkAboutPermit Electrical 1999-4-14
The following project es submined has the following
zoning, and does not require specific land use
approval. t!.-~
225 FIITH STREET Zoning .
SPRINGFIELD, OREGON 9741..7lf> .I-I-II/-q 4
INSPECTION REQUEST: 72ti!jib'J ~
OFFICE: 726-3759 Authorized Signature_
3.
1. LOCATION .OF INSTALLATION
'-5<,1'~ ~~ .5PH/(/v? CJ7(/7/ . A.
LEGAL DESCRIPTION
/7 () ~ :1-:d--.J.O o'8o~5
JOB DESCRIPTION
$tJo/VLJ ~y~
Permits are non-transferable and expire
if work is not started within 180 days.
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
~T~CTRICAL PERMIT APPLICATION
City Job Number. q 9' ()() 3!f'
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. .Dwelling
Service or Feeder
Items Cos t
Sum
$ 85.00
$ 15.00.
$ 40,00
Electrical Contractor ~~t/C~
.B. Services or Feeders
Installation, Alterations
or Relocation:
Address 37J02- .s ,0 ,0.1t:7C)~4
Ci ty M~.9
Phon~.3);la.3'-';;.J"Z)/
Supervisor License Number /&:1/ <>T,t,'P""
Expiration Date /0-/- 9'7
Constr Contr. Number ~ "J,?? 7
y- PS=- a::J
Expira tion Da te
Signature of Supervising Electrician
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 .
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40,00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
20l amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
~
ne"me 0..tcffh ;5 ~ /}O
I
Address0L/05 8~aty ~
<.~ () 7/f?.-v~ 9ne \'::ircui t .
Ci t~J;.2../ Phone I'U. 7'. a-.. '?Each Addi tional .
Circui t 'or wi th Service
or Feeder Permit
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Ovners Signature:
DA~~~-Lj~721-~~-~-------------------
RECEIPT I: 1lj;f~4'-f
RECEIVED BY:/!. //JdCi1 dc/U
D,
Branch. Circuits
volts
$ 40.00
S 55.00
$ 80.00
see liB"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or. irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35,00
$
2,00
no t included)
)(
$ 40.00
$ 40,00
$ 20.00 <.5D
$ 36.00 ( '<fA'
,-~/f' 6D
I . 'KO .
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