HomeMy WebLinkAboutPermit Electrical 1999-09-16CITY OF SPR OFEGOA'
S. .IINGFIELO 4-
The following project as submitted has the lollowing
zontng and does not require specilic land use
approval LDR
Zoning
225 TIFTE STREET
SPRINGFIETD, OREGON ry}%
INSPECTI0N REQIIEST : A,rlA6ze}75$rature
OFFICE: 726-3759
1. LOCATION OF INSTALLATION Tt+
EI,ECTRICAL PBRHIT APPLICATION
City Job Nunbe,'78C05 2
3. COHPLETE FBE SCEEDTIIJ BELOS
A. Nev Residential-Sing1e or
Multi-Family Per dvelling unit.
Service Included:Items Cost Sum
orless a s85.00 /7O'o6itonaJOB
Notifrcation Cen
copies{^
Permits are non-transfe
if vork is not started
of issuance or if vork
180 days.
2. COIiITRACTOR INSTALTATION ONLY
Electrical Contractor t7""4",a
Address 5'4q/(.'r), 4**tlMLD
Supervisor License Number A 78qs
B.
or portion z_
anu f'd Home- or
Modular Dvelling
Sertice 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-
0ver 1000 amPs/volts
-
Reconnect 0n1Y
g 15.00 ) o
$ 40.00
citv 14z*-6rzz? Phone SL(/4 7 >A 7(2
$ s0.00
$ 60.00
s100.00
s130.00
$300.00
s 40.00
Expiration Date
constr contr. N
/o-t -o (C. TemporarY Services or Feeders
tnstallaiion, Alteration or Relocationumber 5 4Qq z
0vners Name (o
Address ?q7 6 s(
Ci ty J,C.Phone
OVNER INSTALLATION
The installation is being made on
piop"tty I ovn vhich is not intended
ioi^ surl, lease or rent ' 'r?u
Ovners Signature ' ,,$
DATE:
Expiration o^r" ,,-*okalcEi i3? xlB:':: iii".mps
S i gna t ure o r superv i s ing EhtssEfthf sHALL Exp'#JEitfr$1,ff*6:
o:."TE8o- *rr"a56G-
ATJTHORIZED UNDER TH IS PER[\4IT tS NOT
nBnr'rdofrEdF1i,ircu its
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
E Miscellaneous (Service/feeder not included)
$ 40.00
$ ss.oo
$ 80.00
see rrBll
ORIS
-Each installation
Pump or irrigation
-
Sign/Outline Lighting-
Limi ted EnergY/Res
-
Limited EnergY/Comm
s 40.00
$ 40.00
$ 20.00
s 36.00
5 SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
) cSO
i-{.
9;
oe
-()\
d?
RECEIVED
:er, Those rules
952-001-001 0 ihrough-"i[o}'\ffi1o*
c,,1/ co
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