HomeMy WebLinkAboutPermit Electrical 1999-7-19
The followin.g project as submitted has the following
zoning. and does not require specific land use
approval.
Zoning
Dete. /-19- q;tJ
9Aai1>;?rized SIgnature
726-3769
L"DL.--
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATl.qN .OF INSTALLATION
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fJ.'--. -.-.-- -"'e"'~'" "'j+"~",,,'n Iltilitv
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Nogi' ~i a se rules are set forth
in ~ - t r h 01-
UU::lu. "o.fva;-,..~;': ;:;~~~.
Perm:jl~i!1g.Jl:lg c.h l-')IR1ff.vw..Wl~.'1.,9t~ expi re
if I\ill1!Relif~rIAAOSct\i9![~HlriW;.l!R nqltRJl days.
of issuafi'eEWcftS if'('~bfR2'i'~4~ spended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~N
Address 'TWd-.L'b ~orY\
Ci ty ~ Phone
<.LECTRICAL PERMIT APPLICATION
City Job Number q qo q7 '-I
I
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
NOTICE: Items Cost Sum
1000 . sll:ilG:P.EBMI1SS!iALL EXPIRE IQ18-lE WDRK
Each aMtffiJrol!i!:~ERTHISPERMITlSNOT
~~~ r;g~ijM~~cEtf8R IS ABANDO~EPf.<e6
Each MANlifiOO orem@E6ItO~
Modular .Dwelling
Service or Feeder .$ 40.00
.B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
7, J 201 amps to 400 amps
t'1/'JrltJ 401 amps to 600 amps
601 amps to 1000 amps
Supervisor License Number 1~~1I~ ~Over 1000 amps/volts
Reconnecc.Only
Expiration Date
Constr Conn. Number 1l~'5 (
Expiration Date 3/'!:>11t1D
I
Signature of Supervising Electrician
Owners Name [1l-U2..lS lftf.5XJtJ
Address ~[U~~ ~ w*-1
v I
City~R6fU) Phone~I-Jif~
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
D~~~~-=:~:-~~-----------------------
RECEKT 11:_ rJ,J'-/ q(J / . "
RECEIVED B1:/ I. ml1lfifi-cLC
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 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
D.
Branch Circuits
$ 40.00
$55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One \(;ircui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included) .
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
$ 40.00
$ 40.00
$ 20.00
-L $ 36.00 .3(o,UV
.3 ~ 6v
;,....'.;:;-2-
/. (, K
...3q (or")
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL