HomeMy WebLinkAboutPermit Electrical 1999-10-9
<\~p ~ oN~
225 FIFTH STREET ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747Tld~QERMITSHALLEXPIREIFTHEWO~ eja/ t...{L1]
INSPECTION REOUEST~ 72.6-Tlfi9 . Ci..tY Job Number -/7 ·
OFFICE: 726-3759 AUTHORIZEDUNDERTHISPERMlTISNUr
. ~nMMENCEDOR ISABOOOIil~E FEE SCHEDULE BELOII
1. LOCATION O~ INo::TALU- TnN Dltf\D III N -l
'30'=> jfll:~,Ifk'Yr':L~ ,_...__..:,~~~_1.~?PAYh '. ll.~ iitlew Residential-Single or
. .. . ___ . . _.. _ . _,,_. .-.. . -,-.. ~- '---'.:-- Q a,E 1:J1ul t i-Family per dwelling uni to
fo!I?\tEGKFD€SCRIfiio'NQregon Ul:llty ~. . ~;" ~ervice Included: .
NotltICal\1)I'1.Genrel, 'LI'1Cl$'Hf\\l!!b!2:~~ort/1Y~ /)~ 5 Items
i11~1~~952=-0017.,00iO-throUg~~r",';:L--C~,- l ~ 3' g.~-.. .
::::I -<0'" (0 a
0090. J08 rDE'SOOPTfONies of the rules ~ _ ~ _ ';'. '" ~OOO 'sq. f t .or less
cail;ng:hecontH. ~~ot0:trJ:~~1JIhon!JL.-G:-G:1 :i> ..." ~ ;Eachaddi tional 500
IIUllluerf>jrtheC.i€~l1.i~WI?I'\,ju~llll...aL~vll 't" :.s,i-' ~ ~sq. f"t or portion
P . C"c-'-"'I-" !'II" ..,.,c, .foAAbl d .,...lI.... c: O'th f
ermi ts"are non-t.rans .era e an ex 1 r ~ v "'. 3 ereo
,if ~ork is not started ,:,ithin 180 d. '!s r ~ lach Hanl!f'd Home. or
of issuance or if vork is suspended fo: ~ ~odular Dwelling
180 days. ~ ::;Service or Feeder
iii~
.B. i5. ~ervices. or Feeders
~ Installation, Alterations
~i: Relocation:
)
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor f.l.-r~_ -~~-;
Address 'icA Q.-..,~ A-v-..- ~ '-/')..1 ex,
City lZ..u~. Phone G..Ml -'5401
Supervisor License Number ~ l~~
Expiration Date \0 \ 0 \ lo{
Constr Contr. Number -z. 213S,C
Expiratio Date lokh>'
. /.
Sf .,., .f S.P':"~f'.''''i''
ov';;;rs Name (~~- l~S
Address 3d. S:-8 ~. (\J '-i c:r....J
Ci ty SlfIr...M<v.-t) Phone '7L1L( -(.,1 kG
'.
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
------~-----7---t---~----------------~
DATE: i 0 10,/ 'i 'i
RECEIPT .: /'. / OS 5'f 3 r .
RECEIVED BY: Af (AI t>-t-/
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50,00
$ 60.00
$100.00
$130.00
$300.00
$40.00
Temporary Services or Feeders
: Installation, Alteration or Relocation
If)
X $ 40.00 '10-
$ 55.00
$ 80.00
see "B" above
C.
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
,",
One Circuit
Each Additional
Circuit or vith Serviee
or Feeder Permit
.
$ 35.00
$ 2.00
E. Hiscellaneous (Service/feeder not included
-Each installation
Pump or irrigation $40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
~State Surcharge
3% Administrative Fee
TOTAL
1-./00
2.'1rO
/. 1/ J
"'t '(.Ii)