HomeMy WebLinkAboutPermit Electrical 1999-4-20
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
The following projecl es submihed has the following
zoning, and does not require specific land use
approval. tc- ELECTRICAL PERMIT APPLICATION
97477 Zoning 42:1Aj~ 2.. ?
726-3769 '-f-~ 0 _ c:, C, City Job Number I 71/ }
Dale .
~.
1000 sq.ft. or less
Each additional 500
sq. ft or port ion
ATTEFJW(l)\=P61 ~rAnllirL 5 15.00
f II FoJj Ma,~u e-~"UTC~ yuu <0
O. ow. "~. if ~:f tHgOregon Utility
~~~~a .Br? '?p ero nfl1!~d\!lf;ls are set fortIS 40.00
;<- Of- 010throughOAH~o2_001_
O~~O. ,59,'tV'i''Ce'Sb\;lin f;1ll}lilslQl the rules by
call1~A~It'aij:Ij!~lterolf\loWl~~le
See u r i t Y numQru' f'Rl=l116cal1egm~ Utility Notification
Center is 1-800-332-2344).
200 amps or less 5 50.00
201 amps to 400 amps 5 60.00
401 amps to 600 amps 5100.00
601 amps to 1000 amps 5130.00
Over 1000 amps/volts 5300.00
Reconnect Only 5 40.00
Authorized Signature
1. LOCATION OF INSTALLATION
~n rn (L.JJr, ~ .
LEGAL OESCRIPTION 01
!7()31,nl (')o~bi)
JOB DESCRIPTION ,
-~nDQ ~CJ1D\'\\t'll
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor Son it rol
Address P.O. Box 21009
Ci ty Euuene
Phone 46 1 - 5678
Supervisor License Number
\ LP~'I<CT
Expiration
Date IOlqq
Constr Contr. Number 65149
Expiration Date
6-28-00
Signature of Supervising Electrician
1u1~ .
Ovners Name'R'\"\{).ll\
Address ~
(0'<\00\'
6~ ~.
Cit€:P": ~PhonelL\\-;::n-n
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Ovners Signature:
------------1--/-----------------------
DATE:_ ..flu f'f
RECEIPT H: ~. , '" d.s 3.r~ f/
RECEIVED BY: iJf li'()..J
A.
Nev Residential-Single or *
::::~::m~:: ::~::I:::O:ni I. " \.~
Service Included:
Items
Cost
Sum
5 85.00
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
5 40.00
5 55.00
5 80.00
volts see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
S 35.00
5 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation 5 40.00
Sign/Outline Lighting 5 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm 5 36.00 ?iI.",ro
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
?-J.p.~
\"R.O
j .G€;
~.""~