HomeMy WebLinkAboutPermit Electrical 1999-11-29
.
.NGFIELD
The following proiect as submitted has the following
zoning. and does n01 require specific land use
approval. 1... tv
Zoning D
9~te 11-;l,.Q-'1"1
974 I .I. )
72~!!'3'1'i/l1d Signeture ~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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JOB DEjTC PTION
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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 .B.
,
Electrical contractori)\f,(tyVl t:(Q~~
Address ~?Jl?h ()JL tJ1.fl.rf~
Ci ty Ue:iJJL{{ Phone!fHS- 2400.
Supervisor License Number c<jJ)ILf - S
Expiration Date 10/1/00
Constr Contr. Number 6O(~~Cf(j
" ,
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Expi,ration Date
ervi~trician
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Ci tySfri rY4i.f (r1 Phone 7Ll If - 7(j[, I
OYNER I<<S~ALLATION
,
I
Ol/ne.I;;.I..~me
Address J q 0
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
DATE~----7-7-~~-to/-1t1'l1-------------~
RECEIPT #: I ' .1'r;.2..~
RECEIVED BY: . ',(!~ "
~1$CTRICAL PERMIT APPLICATION
"~LY Job Number qq 135 ()
3. COMPLETE FEE SCBEDUU, BELOY
A. New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder ~
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Re20nnec t . Only
uni t.
Cost Sum
$ 85.00
$ 15.00
.$ 40.00 ~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 a'mps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see llB" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
7~% State Surcharge
3% Administrative F€,e
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
"D.()O
40.00
40.00
20.00
36.00
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