HomeMy WebLinkAboutPermit Electrical 1999-5-6
The following proje I '
zoning, and doas ~o~:eSUbmllted has the following
approvel. qUire specific land use
225 FIFTH STREET Zonin"'
SPRINGFIELD, OREGON 91~97
INSPECTION REQUEST: A7uft,6~3769
OFPICE: 726-3759 onzed Signature
WR-
'5-(,-'1<:7
cKu.J
3.
1. LOCATION OF INSTALLATION
R t/ 5 IhLkLn 'J /f' 1'/ f'!?'1- &
I'1tJJE~q~{;S3 00
JOB DESCRIPTION
(/J"h;hd tl1l'r'q'l (S.fll/JT;j-~ )
Permits are. non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
'''i ty Job Number 9~' I D:55,
COMP~TE FEE SCHEDULE BELOY
Nev Residential-Single or ~
Multi-Family per dvelling unit.' ,
Service Included:
I terns Cos t. Sum
A.
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
the reo f $ 15.00
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder ,$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services'or Feeders
" , Installation, Alterations
Electdc~l contractor/J,;v(~l;d /; Il'dromuOr Relocation:
Address.:p.o, Kn" 'I064g ZOO amps or less S 50.00
, 201 amps to 400 amps $ 60.00
City ?Allql'n~ PhoneMI-l/'X<,/-Q.J)7K 401 amps to. 600 amps $100.00
601 amps to 1000 am,ll3luaCl ~30. 00
Supel'visor License Number ggg" JI...E Over 1000 ~~~qt\\"OlleQ 00.00
Reconr\,~1!IiZ.0'fu\Xl06al0 ~ ..11\ 011\\ ~ro' 00
c. 'P~~eon\\O~~~~.~\Qt-I) '~~~~F.~~~~ 11\
I~~~tl!,'j:\A>1~tY~~~t9~ ~~ll~ tion
F.l\ sal '0'110 l\ l\ sOI.\l: la\l1a salOl MO\lO\
2OW-~~8iilJ19\\):'eEl!il\ \la\d06~~O".\. NS.!.I9D. 00 _
2\W\~~~cMl} ~1 ,"S 55.00
Ove~\\~.I,;EhI"t6Gd'eamps $ 80.00
OveN~ amps Ol' 1000 volts see "B" above
Expiration Date /O/qCj
Constr Contr. Numbel' q<g /L/E
Expiration Date 4/ iOn
~!'~~ El,,";';"
Ovner~ Name {II h'TI' B, H n 111 PIT'
Address 7>, {J, 13" '>L "74 'lA
~ ( Ii 1.1.n...1
OVNER INSTALLATION
Ci ty
Phone (44~llplpO
The installation is being made on
property I ovp. vhich is not intended
for sale, lease or rent.
ovner~ignature:
(Y!) .' J
~~!~;~::i~~~----------
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$
2.00
not included
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
2..J2dJ 0
''20, (}O
1.00
, wO
'1./.1.1'0
.
...
.
'(',
City of Sp~ingfield
225 Fifth St~eet
Sp~ingfi~ld, OR 97477
(503) 72S-3753
T~ansaction nlJmber 0341S1
May 24, 1999 4:03 PM
ReceivE.'d ir-Olll: ~(AREN OLSEN
Cont~act/O~n . FOR 845 MCKENZIE CREST
Add~ess: P.O. BOX 4iS
City. CRESWELL St: OR Zip: 97426
-Building-
Job t, 981035
Descf'iption
Fee
Eledr-ical
Stat,.' Sllr'cha~ge
3:< t1d.,in Fee
20.00
1.00
.be
Tot,al:
Anlt Recci ved:
Ched: t: 991035
2LSO
21.60 Check
Thank you, Nancy M.