HomeMy WebLinkAboutPermit Electrical 1999-7-13
The. fOllowing project es submined has the following
zOning. and does not require specific land use
approvaL
1. LOCATION O~ INSTALY,TION
flIt~ /fdA,tfu, /)bdJ'
I
LEGAL DESCRIPTION
/71> 2, '2AI ?3 (X) 2-0 '3
JOB DESCRI~ON 11 ,( /. d) 1000 sq. ft. or less
er-ez7~ oJ' //R~ (St.", flU.)~ Each addi tional 500
]. Cr/l.u.tfr sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180,days Each Hanuf'd Home, or
of issuance or if work is suspended for Hodular'Dwelling
180 days. ATTENTION'Oeririce or Feeder
follow ruJ/3s ad r:9Dn law requires you fo
2. CONTRACTOR INSTALLATION ONLY Notificatiof!'Ce :;~i~Sl~~l!)It~~~I~r1jit .
in OAR 952'001Ij:fnstlllOf<[.t'],.l?n'a~telljBhhons
nnon You 6~Reltoo~t~e.9\R952-o01
- may obtain co ' -
callin9 the cewfr, ,.It~I.~s~ltthelu/es by
~ :;r.:3er for thEOOae!JlYlPSiilffl, ~~
Cemer flPilS6191?fJ2};Sh lG\Mjflll
601 amps to ' 00 amps
Over 1000 amps/volts
Reconnect Only
225 FIFTH STREET Zonin"
SPRINGFIELD, OREGON 97477 -
INSPECTION REQUEST: 7~6L"37J;
OFFICE: 726-3759
Authorized Signaturf'
',111
Electrical Contractor
/
/
~hc:n;
'/
Supervisor Lic~e Number
Expiration Da.te
/
Constr Contr. Number
E . / D
xplra'tlon ate
/
, Signature of Supervising Electrician
Address
City
lP 12--
--1. I~,~/ "Hy Job Number r9fJ6$'o
]. (}UI1!'1d\T~ FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
ELECTRICAL PERMIT APPLICATION
Items
Cost
Sum
$ 85.00
$ 15.00
,$ 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"oT less $ 40.00
201 amps to 400 amps $ 55.00
NOT/~r 401 to 600 amps $ 80.00
1H/Sp~e"r 600 amps or 1000 vol ts see "B" above
MfTSHA!..LF= '
/I. / .LA A/.frtfO~Bl..r~~'i/fY:/FTHEWORK
Owners Name / /011/ /.R.. S ,4lt 7 '" COMMENr. cR THIS PERAA
It I / II. ./ /1. ~ ANY180'N~~9Q1i1~AYr"i~~')l:on Per Panel IV
Address 7&(-? ttrWIC4. IJlUt:it;!/' DAYPE,Rlon EDFOR I ?'5 -
c /I! I r One CHC1Jit $ 35.00 J.
Ci ty ) n f-...I) Phone 7 2c' - S 3 f 5 Each Additional '
f Circuit or with Service ?
mINER INSTALLATION or Feeder Permi t / $ 2.00 C-'
The installation is being made on
property I own which is not intended
for sale, lease or rent.
it~~ll~~
---------T-~~-------------------------
DATE: 5' '2-7/ff
RECEIPT 11: 0 S 42-2- 1 t7 /1
RECEIVED BY: f..../' W r;..../
.'
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
SignlOutline Lighting
Limited EnergylRes
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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