HomeMy WebLinkAboutPermit Electrical 1999-10-05'fhG tcrilowrng project as submitted has the following
zorlrr)rt srrd does not rcquire specific land use
approval
Zoning
gfirl?
7&6*ElWSrgnature
ON1.
TJGAL DESCRTPTTON
JOB
Perui t s a,re non-transf,
t_rf,
225 rrFTE STREET
SPRINGFIETD, OREGOII
INSPECf,TON REQIIEST:
OFFICE: 726-3759
PERHTT APPLICATION
City Job Nu.mber 3 6/
A
3.
.8.
D.
amps
0nIy
COHPLETE FEE SCBEDTII,E BELOg
Nev Residential-Single orMulti-Family per dvelling unit.Service fncluded:
Items Cost Sum
lf sork is not startedof issuance or lf vork
180 days.
Z. @I{TRAGTOR INSTALI,ATTON ONLY
erable and expirevithin 1B0.daysis suspended for
1000 sq.ft. or less
sq. ft or portion
thereof
Each Hanufrd Home. or
-Modular.'Dvel1ing
Services or FeedersInstallation, AlterationsI or Relocation:
s 8s.00
s 1s.00
. $ 40.00
Electrical Contractor /ht! " ',,? 4&m,
Address
ctv €zourt luutr Ynone //d/-1f,f0
Supervisor License Number
Expiration Date
constr contr. Number /33 ( 86
Expiration Dat 2
Slgnature ''rvisi trician
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or
201 amps to
401 amps to
601 anps to
Iess t
400 amps -'r'-
600 amps
1000 amps
$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
il
=
$
$
$
$
Over 1000
Reconnec t
/voIts
Osners Name D4 u Sfi,-....-r-
Address 55r F*-t A. .--
ct A )- pt on"-lt\O
201 anps to 400 anps _0ver 401 to 600 amps _
Over 600 amps or 1000 volts
Branch Circuits
-Each lnstallation
Pump or irrigation
sigir/ou t I ine- Light i"g-
Limited Energy/Res
Limited energY/Comm
Nev, Alteration or Extension Per Pane1
Orie Circuit $ 35.00
Each AdditionalCii"uit or vith Service
or Feeder Permit $ 2.00
Hiscellaneous (Service/feeder not included)
SUBTOTAL OF ABOVE
\goState Surcharge
37" Administrative Fee
TOTAL
40.00
40.00
20.00
36.00q)
ln
OIINER INSTALT,ATION
0mers Signature:
$
$
$
s
40
55
80
00
.00
.oo
ee nBri aE66
The lnstallation ls being made on
property I ovn vhibh is not intended
for'sale, lease or rent.
E
5
DNE: \
RECEIVED
0 -5-1 1
I
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