HomeMy WebLinkAboutPermit Miscellaneous 1998-9-14
The1ollowing project ae submlltild has tho following
zoning. and does not require specific land use
approval.
Zoninp
225 FIFTH STREET Dm.
SPRINGFIELD, OREGON ~7.~Uu.aSia
INSPECTION REQUEST: "1~b_J'by-nalure
OFFICE: 726-3759
1. I WCAT:j;.ON. OF IN~ALLATION
Icff..()() fY/IJ-/N ~l::~1 '
LEGAL DESCRIPTION
JOB DESCRIPTIcm IAlsm/{. ~ I~ ,c:O~
fl<!1FPIr!-.5/G(J1}{, V SfffEl:iTt.Mh17/v6
~ .
~~ Permits are non-transferable and expire
~D if york is not started within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
. Electrical Contractor L.R. Brabham,
Address 68 :West "Q" Street
Inc.
Signature of Supervising Electrician
,~,{ fi~
/' "
O\(ners Nal1le
Address ~f~
o
The installation is being made on
property I o\(n \(hich is not intended
for sale, lease or rent.
Ovner~~~gnature:
. . ~ .
DATE~.-------q~-fIUl;;I; I L~V\--
RECEIPT II: . 'J ct"V 1
RECEIVED BY: ~ ~ ...; .
ELECTRICAL PERKIT APPLICATION
:;i ty Job Number 0{ <;< ( \ 4L1.
3. COHPLETE FEE SCHEDULE ~ELO~ *'.
Ne\( Residential-Single or
Hulti-Family per d\(elling unit.
Service Included:
. A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home,or
Hodular. 'D\(elling'
Service or Feeder
.B. Services or Feeders
Installation, Alterations
or Relocation:
Items
Cost
Sum
200 amps or less
201 amps to 400 amps
City Springfield Phone 747-6638 401 amps to 600 amps
'. 601 amps to' 1000 amps
Supervisor License Number 14735 'nnlli3rl AVa U8\OAie't 1000 amps/volts
Reconnect Only
Expiration Date 1 0/Q~NOON'v'8'v' SIl:lO 038N3Viv'M.I
10N:1869~1l:l3d SIHll:l30Nn 03Q!ol.:lOmeli\ilo~ary . Services or Feeders, .
Constr Contr. Number " ,,_ '1'''-i"''''<''11,^,u3 1nsta_latlon, Alteration or Relocatlon
>Ibulv\ :1n.J..:l1 :::aid ,",^...i I V 'i I~ no d~lMJ.
Expiration Date 12/18/98. :aOI.2,'.l:A\!amps'.or less. $ 40.00
ATT~fl.llrI@9lOOrEl;PJrI40a ralfl~~ yvu.v $ 55.00
follo..9y~tis~PI<9.J 6f)OleBiilpllJon u'""'1 $ 80.00
Notific9.YiSIi cAARei!lI!Ms~ruIIlOOO3l1ll\J)l!S'~ee lOB" above
'11\ OAF.l9~:?-_Q01-001 0 through OAR 952-001
'dU90.~y~~~~~ies of the rules by ; "
/ calii(l9. the. qenter. (~ote: the tele~ho~e
nurTIb'il'flof\f1~'tl"~~o~rutlliW Ilildilnllt6n Per Panel
Center is 1-800-332-2344). '
. One cIrcuit $ 35.00
,2lm~.c:. <. Each Additional '
~ Circuit or with Service
or Feeder Permit
$ 85.00
$ 15.00
$ 40.00
I
$),-
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 2.00
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
50.-
0150
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