HomeMy WebLinkAboutPermit Electrical 1999-11-16
.
i:
.. - "-_.:,_.-:-".~,-,-:,-~-.....,,.~
. !. . .' '" ~
-..--.-----.------......- .
. ." T_ '. '..
et.. :.
--
SPR~NCFlELD
;",-.:,,--;.==;_:;7",,:-:;-;;::;;;:::::-.~;;.:;::;'.;';';::;::i"
.,.
"..;
".i ' -:' ~ j
,
..,":;:.
Th' lollowing project as submitted has the following ".. .. ..
;.,.",," "..a does not require spec.flc land use ELECTRICAL PERHIT APPLICATION
9t~7,I;ai .. , {' z:- I. 7
726-37~~",ng ("' ,q ~{ty Job ,NWDb~r ?j'. q I'.) ~ ' .
Gate \ \ - \ 6 . lCOHPLETE FEE :SCHEDULB BELOV
1. LOCATION OF INSTAIJ.A'U.OlL Signature ~ .
:$"2.5~ ~Av1 , ~ A.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTioN REQuEsT:
OFFICE: 726-3759
LEGAL DESCRIPTION '
/703 CJ.;)..,;)- (5 -.;l.3<Tt:l
JOB DESCRIPTION
fJza5tJ ~ "tOJ3E
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
Elec~rical Contractor 8'S-rA, ~C .
Address t/J-IO OAk:-"pf'r17:.i-l!2-b,
City EV6c3J6 Phone 5'ft-l.f8'5-55'1h
Supel:visor License Number .4?5 Slf3-
/()-Ol-OO
Expiration Date
Constl: ContI:, Number
C.
01.0 -J...5:5t!..LS
10-01-00
Expiration Date
I
Owners Name
(I ~ff
Address 10&?f8' TJW 1:J.n'1>. ~
Ci ty ~,MVD ~Phone
OvNER INSTALLATION
The installation is being made on
property I own which is not interided
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:, .
.RE;CEln I:
'RECEIVED BY:
//- {~c "l"J
1111C, t.f '
q{ u.J
New Residential-Single or
Hulti-Family :p~r dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Himuf' d 'Home or
Hodular Dwelling
Service or Feeder
B. Services or Feeders
Installation,: A:lterations
or Relocation: \
200 amps or les's
201 amps to 400' amps
401 amps to 600 amps
601 amps to 1990 amps
Over 1000 amps/volts
Reconnect .Only
unit.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100,00
$130.00
$300;00
$ 40.00
Temporary Services. or. Feeders
Installation; A~teration or Relocation
D.
200 amps or less.
201 amps to 4qoi amps
Over 401 to 600' amps
Over 600 amps: or 100u voLts
Branch Circuits
$ 40.00
$ 55.00
$-80,00
see "B" above
New, Alteration or Extension Per Panel
One Circuit .
Each Additional
Circuit or with. Service
or Feeder. Permit '
E.
Miscellaneous: (Service/feeder
~Each install~t10n
Pump or irrigation
SignfOutline.Lighting~,
Limited Energy/Res
Limited>EnergylComm
.5. SUBTOTAL OF ABOVE
1~:;r. S ta te Surch~rge
. 3% Adniin1stra'tiveFee
. TOTAL.. . ,..:, Ii,
'fT."
$ 35.00
$ 2.00
not, included)
$
$
$
$
L{o~'
40.00
40.00
20.00
36,00
tjo-
.',7t~;;, :";~';,.'
'/."."'00.'" '<'-"."..,'
,'-f.'f"'.' '. ."'.,:~t. -;,....,:~.i,:.'..
'/.~~,> :";,;;:-!.' ~. '. '.; " ;';; '::,.':. ..
'.', -, ' ~,\ .;. ': '.
::'
.' ....-~-'''i
'.l'"