HomeMy WebLinkAboutPermit Electrical 1999-6-21
The following project as submitted has the following
zoning, and does not require specltic 'and use
approval. Q
Zoning k 0
225 FIFTH STREET 1 -0-1- <=\ "I
SPRINGFIELD, ORE@!\I3C'-:",:'r -
INSPECTION REQUE~ihoriUJi~~Q9re 9<0
OFFICE: 726-3759
1.
LOCATION OF INSTALLATIO!l L
1/))() JlIWJjE1/r (IN '.:u
j;:GAJ. DESCRIPTION
_1M '? () ~ 1 DQ.() I q 0
City.Eili-t"U, O~ Phone 4&/ "2.6.90
(i'7..,0"'/
Supervisor License Number 4ft>S~.<\
IO/i 1M
, I
Constr Contr. Number 2()--13-1c..
Expiration Date
Expiration Date
CitylJ~
OWNER INSTALLATION
Phone
The installation is being made on .
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: /,.,-,;)../-"7 4
RECEIPT #:
RECEIVED BY: cJ<J-J
-
6'1~ W.<. -
ELECTRICAL PERMIT APPLICATION
City Job Number CiCjV"i5~y
Cost
Sum
3. COMPLETE FEE SCHEDULE BELOV
.& fJ b '''4. New Residential-Single or
Multi-Family per dwelling unit.
~ 8 E: $race Included:
-< :5: 3! en -4 Items
0;:5:0"-
JOB DESCRIPTJON g ~ jig !.a>~ sQ. f t. or less
SC)u/;62 ".~ ~ ~ m ~dradditional 500
(/ ",0 g (fSQ. ft or portion
Permits are non-transferable and expir~ ~ ~ ~hereof
if work is not started within 180 dayso en ~ fach Manuf'd Home. or
of issuance or if work is suspended foP 6i j) ~odular Dwelling
180 days. ~ 3! ]!ieritice or Feeder
enj)
2. CONTRACTOR INSTALLATION ONLY ~Jl !rvices or Feeders
, 'I. ~~ stallation, Alterations
Electrical contractor'i$.-.{"U~i'j (:;t.eq-r,l( =I Relocation:
.> $H - ~
Address \\> 0 '00)( 42./9.6 '1 j) ~ WO amps or less
~ ~1 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
05'Z
::> (') gca g.~lj\porary Services or Feeders
~ !!l. P;!;:; g:rn$1allation, Alteration or Relocation
o -, -< ~ Ql ~ m
/ / (t)cBoCJ:):::!,.~-'
/01/ qq a::'g'" ~g4,9<Bamps"oT less
. J :; :; (t) 3 6 a20Pamps to 400 amps
~~f Supervising Electriciai) g l6 ~ g ~O]?r 401 to 600 amps
. ~ ~ iii' 0 a g. g m@Elt 600 amps or 1000 vol ts
\. , 0......' "t"'~Ei""":-"m~
A- ~ IY~ -- CD. -. 0 -t 0. 0
~ - 0'0 Z ;;D3- gB.,!ia!!ch Circui ts
Owners Name r" n , , " . L- c- I, . '? ::> 0 0 ~ en '< Ql
~ ~~ ~:~=;-g.g CD ~~ .
i\3 E1; ~ (t) <0 2N/ilw,,; AlteratIon or Extension Per Panel
Address "'oD~ ~~ N~ffi~ 01il0.13
f Z CD ::)> ~O~e~Circui t
y g.1il ffi j) (i;E<!,c~ Addi tional
~- g 2 ~ III 8~ui t or wi th Service
=: g CD 6 :: &:feeder Permi t
O(DU>oo;::::;:c
::1. C"' -. ;::1. '<
'<E.' =Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 85.00
$ 15.00
$ 40.00
I
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
-TcC>=
/",cl>,ro
I
f
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
$ 35.00
$
2.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative
TOTAL
q&C?oO
??oO
Fee /;:;z. . e>C/
If' ~.;::s. ~ /<J l/
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