HomeMy WebLinkAboutPermit Electrical 1999-6-11
Nov-12-9a 09,B7A
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The following project as submitted has the following
zoning, and does not require specific land use
approval. tJI ~I
Zoning II" I'
225 FIPTH STREET ( - ,I -'1 "1
SPRINGFIELD, OREGON 1:9l14T' " ''\
INSPECTION REQUEST; A1Ul~~l!llgnature ~
OFFICE; 726-3759
ElECTRICAL PERMIT fl?iCfPMn Y7
~\ly Job Number \J\~l)' l'-\'~
3. COMPLETE FEE SCHEDULll 8ELOV
1. LOCATI\l1l OF INSTALLATION
.!54-05 €!a AT e'N,}"
~~ Cj4f(j
JQB DESCRIPTION "
E J( TflJi.. !..-Iahtfnq (!Jrt.u.LiP
- J J
Permits are non-transferable and expire
if work is not started witbin 180 days
of issuance or if work is suspended for
180 days,
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cos t
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLYJTENTIONB, 5~rviees or Feeders
'/", -- /./M::hCa :oregxhSit\a'ti'81t'i'"8fi.YCM.~erations
Elee t ti c..1 Con trac tor--' t; J 'UlUJ"lIVIu1es adopte<lPIRe'11b'2iift'ion )Jtility
Po ro.. '61~ '\I0llTlCallOn venter. Those rules are set forth
Address '. 'J inOAR!'lfi2:001-001i.?Q\l-cR.JIjP~!1.fl<lg)!'ll01-
City /}.{.b4.JU-l:.L PhOno(54fP.tg~4~~e~~et~i~ti~}~ft(~~~~~:
J ~- . 'AlWlam\i~ l:U"ij,v~amp$
Supervi.~nr License Number 3;l.~l$lrforthe OreOQeJ!Jiiood'J'iiil'P'Sl<m ts
10- '-OD venter is 1-fRe.C6iili'e"e:t40)11y
Expiration Date
'?,c~'l
Constr COlltr. Number v;.J.....
~-~
Expiration DatI! "I-:J.'7.oD
10 -1,.(;0
Signature o~perViSing Eleetrici~
0._ __ ~,
I' y ~- - r---'
Owners Name.S:TE-VC. -51f1 KIfG,I.UJ-H'
DATE~------(:;;-~ll'--~1:\~-----~---
IlBCEIl'T I! ;.soktf N ~ ~
REC&IVED BY! ~ ",--,,'
NOV-12-1998 10:00
$ 65.00
$ 15,00
$ 40.00
$ 50.00
$ 60,00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ !lS.OO -
$ 80.00
volts see "B" "t.i"O'V'e
.'
New, Alteration or Extension Per Panel
5.
sUBTOTAL OF ABOVE
5~ State Surchnr"e
3X Administrative Fee
TOTAL
Address d.01~ tJLur-rvW../.:5r
. v' One Circuit
Ci ty , ~h!. n'IJL;IJ Phone (!;'ti), 12/.>- qghh Each Addi tion..1
~'~ NOTICE Circuit or ...ith Service .1/_1/\
PVNER INS1'ALLATION, : or Feeder Permit ~ $ Z. 00 ,/,(Jo-'
. , TH/SPERM/TSHALL/;YP
Tbe installation is being mad~'~nOJZE 'E: ~l~~~f]i~~ro~vice/feeder not included)
property I own IIhich is not inre'tld...~, DUNDERi/lIm~\ol>,l.l,a"V,Q.Il
for sde, lease or rcot, COMMENCED OR IS .r,l,lJ!l.(l,~~:r~Pi'gl.!~Ydn $ 40.00
ANY 1 '1R'g\'IJtM'iIfIi.lmOJIlightinr $ 40.00
Owners Signature: 80DAYPER/OlJ"imited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
5/,Cf)
1,,(:) _,_
*,."
~. ;;l.
I
$ 35.00 ~lX)
P,002