HomeMy WebLinkAboutPermit Electrical 1999-7-6
SP'GFIELD
.
. .
The tollQwing project ~s su i';;; s8pecitic land use
zoning, and does no requ
approval. t!(l
ZOning -
'7- (, - qq.
225 FIFTH STREET Date K<-> - ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON\~J"1l Signature (J f7\ C3 (/
INSPECTION REQUEST: 726-3769 Ci ty Job Number ~IOW 6
OFFICE: 726-3759 /I..~ ._ _ ^ .
- ~f.A..rr.1J\;'--' /7 3. COMPLETE FEE SCHEDULE BELOV
n /IW!fATIO)f ~ ~~TJ\!.!.tAT];o.!l <::..J.- . A.
C1l1'{) ( } ~(~~ ~'~I Nev Residential-Single or
I Multi-Family per dvelling unit.
. LEGAL DESCRIFTION Service Included:
/"1 ()) 'd-A- IfhOO ?-)-eJD Items Cost Sum
1000 SQ .,fiTIEO'iTilles'Sregon law resua!i~ ()()u. to
Each add,iltion<iil:s 500pteo oy lIIe Oregon I)tll '1
sQ. f Ncoiicpor.t fonter. Those rules are setforth
thereof OAR 952-001-001 0 throug~$)'151.f0-o,-001-
Each Ma-'l.~tl~ d'oHomej ottam copies of the rules oy
Modular&v.~a,.;1ti'Og;enter. (Note: the telephone
Seriric~1i9.!ibg~.\l4!l"3 Oreoon Utili$' r40:il001tion
. Center is 1-800-332-2344).
Services or Feeders
Installation, Alterations
or Relocation:
JOB DESCRIPTION
N~TICE:
Permi tsltie'~~tifelF~~~
if vOr~~I~$I!}p;j~~IWa1MWlgiArn-
~~O i~:~re,ENC~oWI~~5B~~o~ for
ANY 180 DA'I PERIOD.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractor_fl~~~~~
Address R Betk.o Q g) rr lIP / ,
, Phone 6gg~hlc;Q/
Supervisor Lic~nse Numb~r /21/Cf-f
1~101/99
Constr Contr. Number cQo-PJq~
Expiration Date (OlD ~Jc,q
Signature of Supervising Electrician
('~. AJ/;-iH.mJ PfllL{I'SD.
-v;;, _ ^:. Branch Circui ts
Ovners Name ( '(p.VlCJ J\.(~0~
Address lln ~..kl ClC-l&...o~
0h" -r1/ - .21 )!Ccq ~ne Circuit
Cit~ LCfJ.~~on~ &O-5;cJ4:ach. Additional
Circuit or vith Service
OVNER IN ALLATION or Feeder Permit
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
City
Expiration Date
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
volts
"
Nev, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Miscellaneous (Serviceifeeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE .-;q . ()7)
5% State Surcharge b. -S .5
3% Administrative Fee rl.' 3/
TOTAL Y I~ . qo
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Ovner~Signature:
-.
DATE~-:::-(;;:M~r'r--
RECEIPT 11: UJLf7.s~ .
RECEIVED BY:i1 . fYifl cna (J (j