HomeMy WebLinkAboutPermit Electrical 1999-11-3
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S'-GFIELD
The following proiec! es submitted has the following
zoning, and does not require specific land use
approval. LOJ?J
Zoning I \
225 FIFTH STREET ~te ' 11- :2, -90
SPRINGFIELD, OREGON 9 --, rr
INSPECTION REQUES 26'.l!!l'1~ure '
OFFICE: 726-3759
3.
1. LOCATION OF IN?TALLATION ./
Iii \ \Qq e.. ];af,T l.l ~-t ;;.Olt 2~ ,A. New Residential-Single or
I ' , /..3 7.' ~ulti-Family per dwelling
LE~AL D~fWN (7 :;J 0 me> (I"..J\ Service Included:
. <;h r-,. 'V\.(j oJ-, ~ _I U ~ on Items
'-I \j , 170~~/0cJ60.3
JOB DESCRIPTION ,n I 1000 sq. ft. or less
r,hl.W\L' ~ ~X'j)ol1')~\C_J..rc\'YI e, _ Each additional 500
r' sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular 'Dwelling
180 days. Service or Feeder
. S~:~: ~=tr7
{;:~: Name 130 If bCAlf'o. M~OAMLCk.D.
Address
Ci ty
Phone74V --I Ljf; /
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
~<
Ovners Signature:
DATE~~ii-~~-~-5'~-------------------
:g~i~D ~/fl'.OX;]JU~~ "C.
\
ELECTRICAL PERMIT APPLICATION
eTty Job Number qq ( 5 )- {
~Wf
unit. ~
COMPLETE FEE SCHEDULE BELOV
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
Cost
Sum
$ 85.00
$ 15.00
,$ 40.00
}
$ 50. orx..5D .00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
2. CO~CTOR INSTALLATION ONLY~ ~ B. Services or Feeders
-tt;.NI-1<' I' \s ~/oDzt A~c.... ~'~1vAnstallation, Alterations
Electrical Contractor 'LttrIJ.(" or Relocation:
Address c:;z.{):h'3 {,{ ! i/LIJ)(1..p ,~,
Ci ty~J" tIC.-/~' f'~Vhone 9Cf{< (., 777-
Supervisor License Number .:3.9..-11. oS
Expiration Date-L/);/ ~/ () /
Constr Contr. Number ~'1FJ~ I,
Expiration Date :1-'2-'1 - 2)/
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
volts
$ 40.00
$ 55.00
$ 80.00
see "Bit
above
Branch Circuits
.'
New. Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. t"scellaneous (Service/feeder not included)
Each installation
ump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5.( SUBTOTAL OF ABOVE ~<:), ~
'7% State Surcharge I..f . t::J ':::'
3% Administrative Fee / ....,.......
TOTAL <;. "") ,'-, . (.) '--'