HomeMy WebLinkAboutPermit Electrical 1999-5-24
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
The following project es submitted has the following ,
zoning, end does not require specific land use ELECTRICAL PERMIT APPL CATION
97Wovel, c.c,
726-37611oning
5-JJ1-'l"
,w) 3.
Signature
Lr~
"liners Name (),."-n ,..\-lL .'1"...<. c.D
Address \b Ii +\MLlK0 P..o ~
One Circuit
City ~r"lr'l1f-1J..PJ Phone 1ti/- ICfIoI Ea~h A~dition~l .
ATTENTION'Oregon law' ClLCUl t or wlth SerVlce
OIlNER INSTALLATft:l?Mw rules ado t db th re6wres Y08fO Feeder Permi t
. NT' P eye regon Utility
The installation i~~1~1~~S;8gtEll'nThOse'rUleS0reslll~laneous (Service/feeder not included)
property I own whf ~!:WO't1l'qh-P!1rt9~roUghOAR9~h- installation
for sale. lease or \,ou may obtain copies of the nl11181~yor irrigation $ 40.00
calling the center. (Note: the teleph&~gn/Ou tline Ligh ting----L.. $ 40.00.j> ~
Ovners Signa ture: numberforthe Oregon Utility Notific!t!illfl ted Energy/Res $ 20.00
Center is 1-800-332-2344). Limi ted Energy/Comm $ 36.00
Date
1. LOCATION OF INSTALMII\li~d Signature
i : ~ei.Q~ G::M.r'ir\e.M.t<l.\ "Bt1.\I\loL.. '5J.illl~J\ c... ' A.
, \0\\ I1Ar-\~ €'o.;'te 10 3 J
LEGAL DESCRIPTION 61'r\~~;e\c:I, 0 e. (j"7W11
1'70'2, J;) Olj 0::1<;';"..",
JOB DESCRIPTION
C~().(',t:'.i; --\-'it I~ :I.l\S. eo.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractorl11a..-h'^ !;ros. ~;"^f.T"c.
Address 2..., .T.f-RrHN S+
Ci ty & """'-<.. ,'" "1Hf'l- Phone 1<f:t -11"''1
i
,
Supervi"or Li cense Number It. 2./.{O T
. v
/0/ of 12(.100
I I
Constr Contr. Number (;"/ b I ~
P ">h'-z/-Z-O 0 0
Expiration Date
Expiration Date
Electrician
---------------------------------------
6-0!l.f-'19
3/.(.IV1
I
DATE:
RECEIPT 11:
RECEIVED BY:
d:4J
City Job Number
COMPLETE FEE SCHEDULE BELOI/ CfCf o~(A'
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Sum
Cost
$ 85.00
B.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'D,,&Wmlr. '
Service Jil~F~lM& ,$ 40.00
, THIS PERMIT SHALL t:.XPIRE IF THE wef*-
Services ?r f'!'\~q.~?.sn ilNDF'R THIS PERMIT IS NOT
InstallatlaWTHA~~erat>~n~
or Reloca t OOMMENCm OR IS ABANDONED FOR
200 amps ot\N.l.YeWl DAY PERIOD. $ 50.00
201 amps to 400 amps $ 60.00
401 amps to, 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Rec6nnect Only $ 40.00
$ 15.00
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
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
D.
8ranch Circuits
New. Alteration or Extension Per Panel
$ 35.00,
$
2.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
.JL4o. -
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..1S 1.,:)0
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