Loading...
HomeMy WebLinkAboutPermit Electrical 1999-07-02{GFII;-LD Zoning LP TL ZZ5 FIFTE STREET Dare 1-a-=ELECTRICAL PERUIT APPLICATION City Job Nunber QProT { COHPLETE FEE SCHSDULE BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included: ftems Cost The following project as submitted has the followinozoning. and does not require specific land use " approval SPRINGFIELD' OREGON "9*671"0 Sisnature INSPECTION REQUESTz 726-3769 oFFICE -. 726-3759 1 LOCATION OF INSTALLATIONu{qo }Y tL 3 A tft)Y'YWTYb(>co Sum DESCRIPTION Permits are non-transferable and expireif vork is not started vithin 1B0 daysof issuance or if ruork is suspended for 180 days. 2. COMRAC-TOR INSTALI,.ATION ONLY Electrical Contractor s t Add ress 0 a B,X 2V? 3 pnone b88 -lb/ I or Relocation: 200 amps or less 20L amps to 400 amps - 401 amps to 600 amps --601- amps to 1000 amps-over 1000 amps/vo1ts - Reconnect 0n1y 1 Feeders Ao 08t B .00 .00 .00 $ s0.00 s 60.00 s100.00 s130. 00 $300.00 $ 40.00 Reloca t i o '.00 .00 .00ilB', aE6tE- 8;m Ci ty Supervi-sor License Number 3 Y7 7 J Expiration Date lO-o/-O/ Constr Contr. Number .f,ff Expiration Dare 1A- 3O -oo Signature of Supervising Blectrician 0vners Name Address 3 3 Ci ty (,^acu*fu Phone ? Y2- -3 65L OVNER TNSTALLATTON Nev, Alteration or Extension per panel One Circuit $ 35.00Each AdditionalCircuit or vith Serviceor Feeder permit -- $ 2.00 Miscel-laneous (Service,/feeder not included) -Each installation Pump or irrigation Sign/0ut1ine Lighting Limi ted Energy/Res Limi ted Energy,/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.strative Fee TOTAL C D E n b- 200 201 0ver 0ver Bran amps t 40L to 600 600 amps or 100 ch Circui ts The installation is being made onproperty f ovn ruhich is not intendedfor sa1e, lease or rent. 0mers Signature: $ $ s $ 0040 40.00 20.00 36.00 5 DATE: R.ECET RECETVED B Q-eq -7 P 1000 Each Utility Servites or Feed ers ).terati ons