HomeMy WebLinkAboutPermit Electrical 1999-2-5
The following projecles submitted has the folio
zoning. and does not require specific land us
Non~;~I~O~g. M ')
TH . cV s.C{c-~ '
225 FIFTH STREET IS P!!.I!JMIT c:' - ~~.:.:.:~J:cAi. PERMIT APPLICATION
SPRINGFIELD, OREGON 97,4~'!11"l!thorlze(jlgl~ti!~r"""'" . \-\. aa' U';)
INSPECTION REQUEST: i!26-3769ED UNDEf./ T, lilt::: I rHE Woli ty Job Number -I 100 -, v
OFFICE: 726-3759 _ UMMENCf.D OR' HIS PERM""'. K . .
4,','Y 1', ". " IS ABANDJ .COHP~E FEE SCHEDULE BELOll
1. LOCATJON pF INSTALLATION" P[RIOD NED FOR
/011 JfJM!I1tf} Ifo/!f) -fP- /02.. . . A. Nev Residential-Single or
, l1A.IrVt!l- A-&eW:'1) Hul ti-Family per dvelling uni t.
LEGAL DESCRIPTION Service Included:
11032 ~ t1n O)..'O? Items Cost Sum
$ 85.00
~/2Z
1000 sq.ft. or less
Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof
if vork is not started vi thin 180 days Each Hanuf'd Home. or
of issuance or if vork is suspended for Hodular.'Dvelling'
180 days... f:;/IE:Ni,uN'o Service or Feeder
N . .ow rUles . legOn la ,.
2. CONTRACTOR INSTALLATION o~g~calion c::~PteiSefY~t~Ji)Q" }gseders
L R B ~6 - ~9rfi&.o er. iiE!tJi,Jr.~'l:1i't[j.:,WU .Nlterations
. Electrical Contractor .. ra Iill!l1rou",' 1-0010Qfi, &'i!'1'CrCCli~<1!1tIIIIY
, ~""I/ng Ih'e 'ly oblain c 0. 9h OAFl95 lorlh
68 :West "Q" St t nu ce ~e 2, nfl
Address ree fTJber ffl'" nter. (^'i . amssS'lt9liJ less
C .le Ore . llilllitl! t/?/W()()/ amps
City Springfield Phone 747-6638 enteris1_8~~_ l!li~~t(~f)~OO amps
. 6 Jf-:alllp'~ folloWOO amps
Supervisor License Number 14735 Over 1000 amps/volts
10101/0:1". Reconnec t Only
Expiration Date
Constr Contr~ Number 08699
r-~OB DESCRIP,rION
/-:::/f1:-m /e.I1-l- Tl3V1liVT /111;:1 L
$ 15.00
$ 40.00
/
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
0/),(;)//
C. Temporary Services or Feeders,
Installation, Alteration or Relocation
Expiration Date
12118/00 '
200 amps"oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00 '
Over 600 amps or 1000 volts see "B" above
Signat~e of Supervising Electrician
~ A.//-
/" f} /1. j ~ . p Branch Circui ts
ovn~rs Name rl/{!,r.Hf!..U;r;r/f/EIIIT!liIDIWK-'
Address / / / tUG$T JtiG
___ a7lfO/ . / One Circui t
City f:; /14&/1/6' Phone Ljgi.j.. 2Z/<r v.. Each Addi tional
I ~ /'i1~./Jtur/J Circuit or vith Service ',} 00
. OIINER INSTALLATION IJ t..-frfli?.Y vr;:,'r"~ or Feeder Permi t 27 $ 2.00 5'r.
r f0fJeR1t1 r' It1A1/IGGA'Z-. .
The installation is being mfde od E. Miscellaneous (Service/feeder not included)
property I ovn vhich is not intended . -Each installation
for sale, lease or rent. Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
"
Nev, Alteration or Extension Per Panel
Ovner~~~gnature:
-,
'.. .
---------------------r-----------------
DATE: J...( S- / '7 f /'
RECEIPT ,: I) < Zlt'IJ Y , / /
RECEIVED BY: AJ Wpo..J/ ,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/1'1. -
1~-.70
_'5.4-2-
12-3, /2-