HomeMy WebLinkAboutPermit Electrical 1999-7-12
The following projact as submitted has tha following
zoning, and does not require specific land use
approval.. l1. \) (l...-
Zomna
"7-1?--<;"7
q>a,U
JOB DE,SptIPTION 11 1000 sq\jf,t-.fvor less S 85.00
1...1'l.") m\~ ~\(-e.. ~~c.a Each a.dd~lioMi:l'v.sOOgO" 'dIN e
-.J sq. ~fiii.~it:i!l)(fion)teo by th~ eJu!res you to
Permits are non-transferable and expire ther~fRa~~~ente'. TOM~.., rS9'l!5!OOity
if work is no t star ted wi thin 180 days Each~Hailuf "d"Hoine'Co~ thro t;"S are set forth
of issuance or if work is suspended for Modular/iXiidHng,taincopU9 OAR952-001
180 days. Ser~t~"eb"or!IFeede!"r. (1I1~._'es 01 $1(40-"99 by-
III error the 0 . .-. "'~ teleph
,... regon Utll't N one
2. CONTRACTOR INSTAJUo,TION ONLY.-e.L \ B. Services ore'Feeder~nl) ~ ' Y otifiCation
I-'clU:::mCed u CIl"O\~\~::' Installation, Altei.-at'ioh's?3441.
Electrical Contractorl=,rl" '- ""'~lr\t\Q5> or Relocation:
Addressl;t\D'\\o ~lY\C ('\m' ~ ~t It l~ 200 amps or less S 50.00
\ . 201 am \1'1'\t.9 400 amps S 60.00
City:lr).\-Q...\<\ Phone 54rr''tY=\5S 401 arl!)"So'tf(JCJjOO amps $100.00
'. 601 am l1tS~d."Q:OO amps $130.00
Supervisor License Number \~ :IL.~ Over lPOO:_arliJ%'l'8HAi..tE. $300.00_
RecOl~i~ctt~DU 'Jc.fJ/Flf=I'.S...40,OO
Expiration Date fD-'DI-qq OMMENr..r=n ND~R /,<:If) r-'HEWOR/(
. C. Temp4~ Set'V-i~ e'e'<1€8Mrr/s
Constr Contr. Numberl.!2, 1- qq 1 Instal1aT~6h\ytAEPi1Oia 1iI~c"c~\:liTon
('\ 0, lJR
Expiration Date l'Ooo 0<.001 200 amps"or less $ 40.00
201 amps to 400 amps $ 55.00
Signature of supervisi~Electrician Over 401 to 600 amps $ 80.00
\ Q~"i.... \(' ~ . Over 600 amps or 1000 voJ.ts see "B" above
Owners Name<:;tJV\f))t<\~ ~(11~/J11e~ Branch Circuits
Addr.!-S~.J.~/./-+r.. ~ #)(;(jell, Alteration or Extension Per Panel
,~I tt?^'">'?1 ~ One Circuit $ 35.00
Ci ty ~ n--- PhonE! JJ_~ S- -/()/~ Each Addi tional
~. Circuit or with Service
or Feeder Permi.t
225 FIITH STREET
SPRINGFIELD, OREGON 9~77
INSPECTION REQUEST: AJt~tmaii'~naturp
OFFICE: 726-3759
1. LOCh:fION 9.g..,INSTALLA;l'IOP
u,~'O\ \' 0\(\ ::::Y\
I .W'2"~~~O q () 0
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
,
DATE~-----~;r7~~it'~----~---------
RECEIPT ~: . (11,:9.1 I.qq <
I RECEIVED BY: ;1~Yr./\ ~ -~
,
. ELECTRICAL PERMIT APPLICATION
. City Job Numberq~ \~I
3,
COHPLETE FEE SCHEDULE BELOV
New Residential-Single or *
Multi-Family per dwelling unit. .
Service Included:
Items Cost Sum
A,
"
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm ~
not included)
5.
SUBTOTAL OF ABOVE
1'1oSta te Surcharge
37. Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20,00 '?i'
S 36,OO.:Y{l{l ( )
.<fl. DO
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