HomeMy WebLinkAboutPermit Electrical 1999-9-17
The. following project as submitted has the following
lonlng. and does not require specific land use
225 FIITH STREET approval. '. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning L n (.( , . ,'"' u" ,,,\...y.g8.y~ ':,xI J-......
INSPEC:ION REQUEST: b~f.-3769 q - n - tt 9 .'"~,~..,,yj.~tidd~~c!liumbei)\'e(';~~ d3<J-........J
OFFICE. 726-3759 ,,\'-I'll Ji . ,"... , ,r>~"'~i ThOSE nile, ",~ '_c. .
.-uJ-,.'IlG lA~lt,bri 'I'l Signature. 3. l\ICOMPIlETE '~EEC~~,!If;PJ&,E IBEIoOIIJ2-\)(' .
1. J,.pCAT (9.B:HfSt IN 1 q Y in OAR \:l:J,:-Ol ,.U n. . '"'lOIE'f 01 thf iUi8E ..:}
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~::ffi~~""'~~~O!l.\I'.l~O S,IlEIYttceIIEnduded?: .,.,. "C,,).
"9 ...j~~ )tJ'.~ "P':" Items Cost
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Permits are non-t sferable and expire
if work is not started within 180 days'
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~LX'5 Ekc.fric..
Addressj~9h' ?eft. pi nr/lle.
Phone b cfJ> -t:,I,;:l /
Ci ty EUJene
Supervisor License
Expiration Date
Number e:? '7/9 ~
/0/0//9 ?
';?O-J7CJc-
/0/01/99
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
(.---;1--- Nn -/-ha n Ph.dtp.:s
Owners Namer h:i inlo b 6a l.12U . D.
Address 7Q<L t1(Uy) (Q 1-zr't\
Ci~.~Or~e~
~ ~ ~TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent;
Owners Signature:
-------------1----71-------------------
DATE:q~r7- qCh
RECEIPT *: (ll.~l=-f.-l4
RECEIVED BY: . y (<1 ('.(lade)
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
.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' 1000 amps
Ov~r 1000 amps/volts
Reconnect' Only
Sum
$ 85.00
$ l5.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
$ 40.00
$ 55.00
$ 80.00.
see liB" above
Branch Circuits
New, Alteration or
Extension Per Panel
. <SD
$ 35.00~'
One \Circui t
Each Additional
Circuit or with Service
or Feeder Permit
I
$
2.00
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump oi irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm'
E.
5.
SUBTOTAL OF ABOVE
;7r. State Surcharge
37. Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~13~ I CYi)
d.'~
.' I.n~
~.('.50