HomeMy WebLinkAboutPermit Electrical 1999-12-1
~
,
The following project as submitted has the tollowing
zonmg. and does not require specific land use
approval.
Zoning
lC>rt-
22.5 FIFTH STREET Date 1'1..- \ - c,~
SPRINGFIELD, OREGON 97477 . -" \
INSPECTION REQUEST: 726!!I!'1'@d Signature 9"^"-'
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
Lq~~ CI.aCi""- t:k-, A.
LEGAL DESCRIPTION . .
I+I/Af l'l.oP""OJ,.23dLflto7J
JOB DESCRIPTION
::2 br.Y1r..h ,,-,'''C
Permits are non-transferable and expire
if work is not started within 180.days
of issuance or if work is suspended for
180 days. Cf1 !iLl &'
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor -rp; f/rr-tr,y,Ihc.
-Ih:JJ; ,
Address~ e; LV, Ij-- /<;(
City /" "" .. Phone ---'.$('7 ')7...:70
,
Supervisor License Number ::f,;tt17 '?S?""Zd5
W~0\
Expiration Date
Constr Contr. Number ,OLf'f:;) "1
Expiration Date '~0()
. Signatur
sing Electrician
~
p,.,.d
Owners ~e - ('~ ..,,/.,. ~,
- I
Address ~__ ~ r
City
Phone 74"7':""1477
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT *:
RECEIVED ny:
1d--l-9"j
'II ~ "3 I --},
- &AA...JJ
ELECTRICAL PERMIT APPLICATION
/"'.'y Job Number
Cj'e, lip 2. L-
3. COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items Cos t
Sum
1000 sq.ft. or less S 85.00
Each additional 500 -----
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home, or '
Hodular'Dwelling
Service or Feeder ,$ 40.00
,B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to lOOO amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration'or Relocation
D.
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
.
New, Al tera tion or Extension Per Panel
~
$ 35.00
~
One Circuit
Each Additional
Circuit or with servic~
or Feeder Permit $
2.00 L
not included)
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
s.
SUBTOTAL OF ABOVE
1'105 ta te Surcharge
37. Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~1B:-
}.J..
~