HomeMy WebLinkAboutPermit Electrical 1999-11-19
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SPR_FIELD
THIS PERMIT SHALL EXPIRE IFTHEWORK'IU ,;;;n ,,1,';0 ~~;~~I
AUTHORIZEDUNDERTHISPJ;:cMlnc::.l\I(')T:, '. -,.....'! f J'IIB:J
1'tI<l'fI1Howmg",-Oject as submllled has the following .
COMMENCED OR IS ABANDvM'c:l:)Oi=P11lI does not require specific land use ','A 0600
ANY~ approval." n . i "."1' >iVO L:
225 FIFTH ~Ef110D. ZOningL~ f <-- . ELECTR:J:G~_ PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 I '" a .' ~ '~lnJ ,''-,0110' /A
INSPECTION REQUEST: 726-~' I - lo,-Cj, , ,~;." .J,o,b .'Number"'I'" b C]S-.~
OFFICE: 726-3759 Authorized Signature -, G:K0 . ..,
3. COMPLETE FEE SCHEDULE BELOV ~
1. LOCATION OF INSTALLA:fION D
~'lh rYI,e tfn~'IP rffJi(l. Y. A. New Residential-Single or ' '-'
Multi-Family per dwelling unit. ,
LEGAL DESCRIPTION Service Included: '
II()~ d--~ 000 (rrn-
JOB DESCRIPTION
'ifl'llji/-Jl 5O~'k--'
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 contractor~DnL~
Address 0, D, (1n" "n~l./g :
City '~lIlqfnJ, Phone 5'Il-LfK4-QO;(
Supervisor License Number )j~11 JL r;
Expiration Date 10 1& fJ'L
Constr Contr. Number QS/Lf5
Expiration Date O.J I ~tO
. Signatur
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Bome. or
Modular. 'Dwelling
Ser~ice or Feeder .$ 40.00
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
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
----
D.
Owners Name ~ (I h /I'{J
Address (J. D. flJO>l '147.5
City ~,,'q"rfJ Phone St./I-7'1'-1-zu,lPO
OIINER.. INSTALLATION
Uo f1A i /f/"
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
11- \~ .c, ")
~ ~r;.,-z.'2.<b
200 amps' 'OT 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 "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
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
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