HomeMy WebLinkAboutPermit Electrical 1999-12-29
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ThE! fOllowing project as sub' .
Z(Jfling, ana does nOI re .mltted h.B,S the fOllowing
aj..l~roval. qUire specIfiC land use
J...D(L,
SPRINGFIELD, OREGON 97f4iJ.'V I;)'-J..c.,..~i
INSPECTION REQUEST: 7?~ 'UI;Q
","i;(,'fl~ll'd' Signarure
OFFICE: 726-3759
3.
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
() 'I. Installation, Alterations
Electrical Contractor ViVlfc,;h"J. 'f, lfCl-('ot\'1.GK Relocation:
Address P.O, (6M t./Q:i.!::Jl ',200 amps 09LtQ~ $ 50.00
f. 201 amps ~o'~OO'€bIl1S $ 60.00
City u"q'f/D Phone 5'-11-<-I&<1-Q01<6 401 amp~ ~0::6~~~i1s $100.00
, 601 a~sq~ I1;O.oO~ps $130.00
Supervi.sor License Number l,~~J JLF Over l1i90'~*,f~f~ $300.00
Reconnecrl9t9-rt~ (/~.~/ $ 40.00
()-1 () Q e>~ <''-1-,0
C. Temporary set~c~oj9};\!e~s '
Installation, ~~~1ior~~r~~location
e> ~/L (<"-2 ''>';:e-
200 amps' '01.' less' '"'Ch/~ ~4&1Q.0
201 amps to 400 amps ~<::> {jj~;OQ'
Over 401 to 600 amps atP,oo
Over 600 amps or 1000 volts see "B" above
.
225 FIFTH STREET
Zoning
1.
LOCATIOfuOF INSTALLA{fON
151 f' /(f nll/LI' 1I1y)- Or,
l1fo~ 5:~~P;tJl 000
JOB DESCRIPTION
(,1'(1" r i,f-<( <;'-"1 'ftl ,,",.
Permits are non-transferable and eKpire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
EKpiration Date
IOf 00
9 fl /'16
L/lo.fJ/"
Constr Contr. Number
Owners
(2, /-IDf\< oK
1'-/'L '5
Phone 1L/L/ ;'U.etd)
City
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~AiE~-------f~~:29't~--:----------
RECEIPT II: I I,.
RECEIVED BY: Y; hl~
5
DATE:DEC 29 1999
AMT RECD:
CHANGE:
CASHIER: 042
ELECTRICAL PERMIT APPLICATION
s~ ty J~b Number q q '/ t./ O~, ".
COMPLETE FEE SCHEDULE BELOW
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
S m
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Rome. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
. $ 40.00
D.
Branch Circuits
"
New, Alteration or EKtension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder' Permi t~-J.
$ 35.00
"~I
-',.,$: 2.00
I..
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $20.00 ~O
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
1....0.0(J
I. <i ()
, {p 0
~ 1 ' 010