HomeMy WebLinkAboutPermit Electrical 1999-4-20
The. following project as submitted has the followinlL
225 FIFTH STREET zoning. and does not require specific land use 1::LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9ffl'fal. L
INSPECTION REQUEST: 726-3~ing PVl- Ci ty Job Number 99 ~ 4//
OFFICE: 726-3759 Date 4 -a-o -'1 c, -
_. ~ ~UMr~l~ FEE SCHEDULE BELOY
1. LOCATION OF INSTAi~''ill'NSignature fU..V'
(rf6.6o '(Y1~
LEGAL DESCRIPTION
17/\? 7,(; 1 3 /jh 2- 0 7"
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Cost
JOB DES~PTION. 1000 sq.ft. or less $ 85.00
'-:::s:ne\a~ ~~('.. r C+-'..Lj ATTEN~g~: ggdJ~PJWIe.qw~syouto
S. 1 ,I~a ~'lIiH5l'6gon Utility
Permits are non-transferable and expire fo~IOW~U tPLr, Ulesare""tforth $ 15.00
if vork is not started vi thin 180 days ~otlflcatIEl!il e ~liV~:r.1fRPI'bAt!i952-001-
of issuance or if work is suspended for In OAR 95KtRR,1r92 ~tef~~~ng,ftherUleSbY
180 days _ 0090- YOLE\P?Y:R!:l!a\llC<fQ!!l~~~ $ 40.00
calling the center. (Note:tne lel~~
2. CONTRACTOR INSTALLATION ONLY nBr;nbE3~esrElllOrpJ~~wnotlflcatlon
llilsit\;!ll ~'ltOOR~3~1~#.lt ions
Electrical Contractor Sonitrol Security or Relocation:
Address P.O. Box 21009
Ci ty Euuene
Phone 461-5678
Supervisor License Number \(~~~t
Expiration Date 10 leu
Constr Contr. Number 65149
Expiration Date
6-28-00
Signature o~u~er.viSing Electrician
1~>-
, .
Ovners Nam~\C(\ ((',(\(\cn
Address ~ ~ ""r
r ,
Ci ty;'So(\ D n~~Phoner::io-3lLI4
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Ovners Signature:
- ,
DA~E~-------~~-1r-f-----------------~
RECEIPT ~: _ . {4 S:S SVJI
RECEIVED BY: ~ U....v
,
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
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see I'B'l above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm \ S 36.00??{ ~ u.:)
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
..3 r',,09
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