HomeMy WebLinkAboutPermit Electrical 1999-10-29
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The following project as submiUed has the folio
zoning, and does not require specific land use
approval CC
Zoning
225 FIFTH STREET Oate lO' dH -9 Cj '''_''~CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ,,~tno""eoSignaturp 7 ,,' - dC/In?
INSPECTION REQUEST: 726-37b9 ' Clty Job Number 7 '
OFFICE: 726-3759
JOB DESCRIPTION 1000 sq.ft. or less
<)',.Cu tl~ f-/ <j",,-fc. _ ,Each additional 500
1 , sq. ft or portion
Permits are non_transferabl~~~xpire ' thereof
if \lork is not started \Ii !lilu.llil890'dals u..E){PIR~~m"\IiMI~ Home, or
of issuance or if \lork is 'f\\I~Will'~'d~ , SWll.Ms~llling
180 days. " A.rn.lORIZEOUNOEf\11-I1 'tle'r'V'lffltfr Feeder
" p.u'" Of\ISABANOONEO -
2. CONTRACTOR INSTALLATIO~CEO d' Services or Feeders
, :o(A800A'(PEf\IO. Installation,Alterations
Electrical Contractor A O--fN )'''Cu.,{,~ or Relocation: '
1. LOCATION OF INSTALLATION f
3 ')'1C: ~("-t-V~.r S'fA't:~ ,
LEGAL DESCRIPTION
11/)"52.2 'Lo
1){j10 I
3. COMPLETE FEE SCHEDULE BELOV
, A.
Nev Residential-Single or
Multi-Famiiy per dvelling unit.
Service Included:
Sum
Items Cost
, , $ 85.00
$ 15.00
,$ 40.00
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to, 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reco,nnec;,tltOnly $ 40.00
Expiration Date-Lf) If I 0 :2. _....n.9gon\aw{e~u~~~~UtiliW
" 11;\1\::\'111'-""- leCQ:;Jtl';Tem"p9.PP;))t';>e'ifvices or Feeders
Cons t r Con tr. Number ,,9 ?:ti/'lS1rUles ad~P{ inoseI<ilstalla,t-ion1' Altera t ion or Reloca t ion
/ NotilicatiOn \,0"" "J 010 t",{OUgn O::~:~~;; bY
Expiration Date r::-. '7 I'.O"'f>R!'l52.-001-0btainCOj:200oamp.s'hoTleless $ 40.00
, rr'rtQO 'IoU f03'i" . ~Not?,Ol'EamiW ~O\04pO amps $ 55.00
Signature of Supervising El~~t~~,~~~3cente.. onQ,y,erJt40~t'('t~ ~OO amps $ 80.00
,A .I-- .....,~c fO\)e{tO{tne,o{e8g00.gl::~r,Z600 amps or 1000 volts see "B" above
j/L/V ~ ~ nU r."nte'lS1- '
" D. Branch Circui ts
Ovners Name ....~~t.;....ey,C", ~v -Iv~ .r
Address I ('t?( jJ"",,/L { <;'i-
Ci ty ~c,,/ ...; ~ , Phone 7 '{ {;-f > (}
Supervisor License Number g z;- 5 'Sc...F=.
City
&-+7t!. ...,,,......,
Phone, (j 7'3 '-I- '2- / s-B"
Address 5)~~
<5~f{~
OVNER INSTALLATION
The installation is being made on
property I ovn \lhich is not intended
for sale, lease or rent. '
Owners Signature:
---------------,~--------r.--1-----------
DATE: t6(}..'1 '11
RECEIPT II: f) j"" <' ~ '
RECEIVED BY: ~..J-1
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or \lith Service
or Feeder Permit
$ 35.00
S 2.00
E. Miscellaneous (Service/fe~der not included)
-Each installation
Pump or i'rrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited,EnergyfRes $ 20.00
Limited EnergyfComm ---L- $ 36.00 ~U/
,5, SUBTOTAL OF ABOVE 3 C.d,?
7% State Surcharge' "l t_,
3% Administrative Fee ,;. ~
, TOTAL "5 ,{,c......