HomeMy WebLinkAboutPermit Electrical 1999-6-9
Tho following proiectas submitted ha,s the following
loning and does nol reqUire specific land usa
225 FIFTH STREET .JlCD~al. /l III . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON ~14// '-If
INSPECTION REQUEST: '726-3i6'~lDg I '1 _ G '1 . Ci ty Job Number q C} 031/
OFFICE: 726-3759 Date . - , j
mol- 't-i. COKPL~E FEE SCHEDULE BELO\l
1. LOCATION OF INSTAi~'ffB~Slgna;re - ' .
~lJn.D Roo.A. 3ci> . A.
JOB DESCRIPTION 1000 sq.ft. or less
7ehl'ln r 7'" j;::,u_ Each add it i onal 500
AI 1l=llJTION;Oregon jaw Ie u s9.: f t or port ion
Permi ts arenon-transfedllM'e mil</; au~PJ.GB b the q Irlft'e.'f!lJ!>!fi
if IJork is not startedNolTJiitih:1>ooil,80'rdays-h/ OrE'/i12R lffilfilif' d Home. or
of issuance or if IJorkini~Af~:~~~i~9.)(,~o'Jth se ruies 'i1O'~~'rrrtDIJelling
180 days. 0090. You may obtai rough O~~~:i~"el10r Feeder
cal/ina.thp n copies of the rules by
2. CONTRACTOR INSTALLAiliiliflfbe!?lj'b-1t~:n6er. (Not~t:hetsEfrj:v!tce:s or Feeders
C . regonUlIhlyllirriSotailibation, Alterations
Electrical Contractor Al..rt. F.1~Wf~r1f~O.o-:t1?c?;34fl). Relocation:
Address 1970 N. 28th Street 200 amps or less -L $ 50.00 60. -.
201 amps to 400 amps $ 60.00
401 amps to, 600 amps $100.00
601 amps to 1000 amps; $130.00 /3/).--
N()1Q~ 1000 amps/volts $300.00
"T'L. '~~hnec t Only $ 40.00
. nlS PERMIT
AOrH~Il.O~i"~ or Feeders
COMM'fIISTf;~~PftH?'tt!eJ!ls.Wo~j{ Reloca t i on
ENCED 01=1 S PERMlits
ANYI8mt1Ry'lo,rp.PiIiiABAAilii~NFn~- NOT $ 40.00
YftfJ. aJfitrlJOg, 400 anl]l'$ U/'1 $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
LEGAL DESCRIPTION
I.., 0 ~ d-A..m 00 9'50.3
City
Sorinafield, Phone 747-2213
Supervisor License Number
?d1-<::
Expiration Date 10-01-2001
Constr Contr. Number
12772
Expiration Date
5-22-99
Electrician
r~
/l.e-.-J- t:L -<nV
Ci ty _~r; '^zf~ Phone
O\INER INSTALLATION
The installation is being made on
property I OIJn whi~h is not intended
for sale, lease or ren t .
Ovners Signature:
--------------------------~7-7~-------
DATE: G/fI/f
RECEIPT Jl:, J {77't' Jt, &j' . I
RECEIVED BY:/V iJ.vw/ '
NeIJ Residential-Single or
Multi-Family per dIJelling
Service Included:
uni t.
Items
Cost
Sum
S 85.00
$ 15.00'
$ 4'0.00
D.
Branch Circuits
NeIJ, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or IJith servic~
or Feeder Permi t '/'
$ 35.00
"Id-
$ 2.00 ~
E. Miscellaneous (Service/feeder nqt included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
....3.4. -
/('2' -ff)
9. S4
354.oU-