HomeMy WebLinkAboutPermit Electrical 1999-4-13
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The 10Uowing project as submitted has the 01 oWing
zoning. and does not require specific land ,use
approval.
Zoning
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97,fMJ
726-3769
h..,norized Signatuf'P
c.. C-
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~LECTRICAL PERMIT APPLICATION
Ci ty Job Numbe/1' g It( ~ Cj
1. LOCATION OF INSTALL4TION
5;;< t:; I /'f}:u'n 5t.
/~~f(j~ 100
JOB DESCRIPTION
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
Electrical Contractor,Son i t ro I Secur i ty
Address P ,0. Box 21009
Ci ty Euuene
Phone 461 - 5678
Supervisor License Number /(;,8Q r<ET
Expiration Date /{)-I- qq
Constr Contr. Number 65149
Expiration Date
6-28-00
Signature of Supervising Electrician
~~~ .
Owners Name fYlCf(e/1zie 5-fa.+e Bant D.
Address 5 ;)fj I rfh. in 6-1- .
City '5P"-f'j{;-eIJ Phone_7;)('" -(,,/O{)
OVNER INSTALLATION
The installation. is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
D~~E~----L111-i(-t~l.t-~---------------~
RECEIPT #:_, (l< ~Y\~ '
RECEIVED BY: -.~0-
3. COMPLETE FEE SCHEDULE BELO\I
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
'";';',~
$ 85,00
It ems
1000 sq.ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 15.00
$ 40,00
B.
Services or Feeders
Installation, Alterations
or Relocation:
C.
200 amps or less $ 50,00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130,00
Over 1000 amps/volts $300.00
Re.ll:qjiiiailiI~C4lnij)yegon law reQuires )/iluW. 00
follow rules adopted by the ~~,~ Utility
?:AA~!illli61 Cfuffil!!!\ q1ffl)~u ~t forth
W0m~9:!!-OO1.0mlhfeU4~t!>AR9~lHlma t i on
0990. You may obtain copies of the r~es bv
20Ihan~~~ ~f.~ote:.tl:1e-teIep o~~' 00
~e~rf\~g~ol~hF6. e PJRtJt~tifi ~'?t! gg
Over 600,erM'i!~~0i: ~a-,;wN~' see "B" 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. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00
Sign/Outline Lighting $ 40,00
Limi ted Energy/Res $ 20,00 .
Limi ted Ener.gy/Comm $ 36.00 J.hCD
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
,:\Ip=
/ fiJCY
.'60
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