HomeMy WebLinkAboutPermit Electrical 1999-7-13
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TherOllowlng project as submitted has thelollowing
zonlUb. and does not require specific land use
approval. /!;~
zoning---:7j, If) PI q r;w-.CTRICAL PERHI0APPLICATION
9741:ikte nOI/.'\.
72~u;h?'~~ed Signature (h-/ Ci ty Job Number '1; V ~
3'. . U COMPLETE FEE SCHEDULE BELOII
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
. _"<Of <:; ('"Jfit;et..J5' I.. ,)-frt't""-J,
LEGAL DESCRIl'TION
II ns ri d-- (Yx) 0-)-(;-0
JOB .DESCRIPTIONc'
All1rrn <...JI./5f-ql?
. ..J
Permits are non-transferable and expire
if \lork is not started \lithin 180 days.
of issuance or if \lork is suspended for
180 days. .
2.
CONTMCTOR INSTALLATION ONLY
Supervisor License Number
/ol//CJCf
, I .
Constr Contr. Number 057 q:J..,4
Expiration Date
Expi ra t ion Da te
11.2 7/00
,
Signature of Supervising Electrician
O\lners Name 0 r If I ~n 1 ?t'Jnff-. ht"l~!.S6 D.
. ril
Address .301 l? (;..~LJ7 .S+
Ci ty ~<JrJf'lJf I ~ Id Phone
01lNER INSTALLATION
The installation is being made on
property I O\ln \lhich is not intended
for sale, lease or rent.
Owners Signature:
~ATE~-~~~--~------------------'
RECEIPT 11: /'1 '-'.L-I /) <-I'd .
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/If)1!i.Chaa{)
A. Ne\l Residential-Single or
Multi-Family per d\lelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular.D\lelling
Service or Feeder
Sum
$ 85.00
S 15.00
$ 1.0.00
S 50.00
S 60.00
SlOO.OO
$130.00
S300.00
S 1.0.00
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
S 40.00
$ 55.00
$ 80.00
see "Bit above
Braflch Circuits
Ne\l, Alteration or Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pu~p or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or \lith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
B. Services or Feeders
Installation, Alterations
Electrical Con tractor Hnnt'J (.JPi J J or Relocation:
Address .J5lf.9SS{,) <Se.QU.DI~~j(lL1/f.~g~ amps or less
. U ./ 201 amps to 400 amps
City~()rfla.nd. Phone 9tf1-.3307J 1.01 amps to. 600 amps
601 amps to 1000 amps
q<j,ILE Over 1000 amps/volts
Reconnect Only
S 2.00
not included)
$ 40.00
$.40.00
$ 20.00
I $ 36.00
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