Loading...
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 I>V .37 /.- rs- ,If _ ~ q jv