HomeMy WebLinkAboutPermit Electrical 1999-4-5
The following project es submitted has the following
ZOnl,"g. and does not require specific land use
approval.
Zoning Lu "
225 FIFTH STREET Datp L{ - $'"' - 4 "i
SPRINGFIELD, OREGON nl~Uz.vuSjgnat re ~
INSPECTION REQUEST: 726-J/6~ u
OFFICE: 726-3759
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1. LOCATION OF INSTALLATION
'?~ tc.h~d,47'-/AWV~L. }~/A4r A.
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LEGAL DESCRIPTION
/'7 Ie? "3-/'7- '::Jo ~p~ ~
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number '9'8~~'
3. COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less $ 85.00
Each.additional500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular. 'Dwelling
Service or Feeder .$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
C. Installation, Alterations
Electrical Contractor ~.CoyY,""v\0;Cc.--hOy\.or Relocation: . ....
Address 10'150 S \d, S-rl1 s+ s-J. II 0.
Ci tyh ec,v~ k>,rc Phone '17 005' .
o L-.
Supervisor License Number /2e....f 15S S
Expiration Date
10 II /'1. '1
Constr Contr. Numbel' I II (~S '6
Expiration Date pi V\ '
Sign~~Supervisin~lectrician
~.l/;/ ~-vI~j
Ovners N:me bAJ) 5'....?7/~
AddressY~ ~~/~2'
Ci ty ?-:;;~~7/~.Phone "!lD3 "':zH'/'~
r', / 7~ >
OVNER INSTAL TIO~
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
'Ollners Signature:
---------------------------------------
DATE: L{~7' ~?
RECEIPT #:. '.., .~ ~.lF-
RECEIVED BY: . ~---..-,.
'7 "
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec t. Only
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
Nev, Alteration'or Extension Per Panel
One (Circui t
Each Additional .
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
,
Mis~ellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL 'OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
-- $ 36.00 ~-
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