HomeMy WebLinkAboutPermit Electrical 1999-7-19
d d .A,r;;;c . bmitted has the following
\}1jJ S f ~~i~06.I~Tdo~~e~~~~:~Uire specific land usa
approval ~ (') VZ--
225 FIFTH STREET Zoning. 7
SPRINGFIELD. OREGON 97477 '7 - I "i - q
INSPECTION REQUESTpat"Zb-3169 ~
OFFICE: 726-3759 Authorized Signature. .
1. LOCATION QF. INSTAL~JION
4-'RS r MQfn <::J"'"'C
LEGAL DES~PTION
/7 f-,.1.,.32UO
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.v
. JOB DES~I.9~
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Signature of Supervising Electrician '
" " (1~t -P~~
Ollners Name Sun IME's-t M o.tYla~E-
'Address ;) 737 /1..d. d t/t2..o~
Ci ty SC\ \-E'tr. Phone
OWER INSTALLATION
The installation is being made on
property I olin which is not intended
for' sale, lease or ren t .
Ollners Signature:
-----------f--t------------------------
DATE: 7f 11 17
RECEIPT II:' . // 0/>>'+'-10'-7 .
RECEIVED BY: -d t./..i( .
-
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 'if! C; 2 J
3,
COMPLETE FEE SCHEDULE BELOV
~()~~~esidential-Single or
~~~-Family per dwelling unit.
THISS'filMIIT'8HA1i.~i1lE IF~
AUTHORIZED UNDER THIS PERMIT~ CC s t
COM~~~a3tS~EDCJ"\1"> $ 8=.00
ANY~W1eRf619,nal. 500 =---
sq, ft or portlon
Permits are non-transferable and expire thereof
if lIork is not started within 180 days Each Manuf'd Home. or
of issuance or if lIork is suspended for Modular'Dllelling
180 days. Service or Feeder
ATIENTI()I\I:U'bYU' I law requires you 10
2. CONTRACTOR INSTALLA. TION ONLY followruleslAtlopmu/i~flll,S()WQ&~!!1i\.yS .
. . ,~vrtiflMti ~nlet.'tflMlt3l&s%'esMftN5i'tlOnS
Electrlcal Contractorfu. Irle(~'b~IW~~~1-odl'ott\m\foAmis2-001-
Address IqS Mad'~ah 0090:~ OUmaYOb2li{1?R/i!~.~~J hllrul~SbY
"ci'lnolJlhecent12'OiN9:I"!r I I ,nlmps
Ci ty (l~ene Phone 4-~~67!orthe.01Moq~. ~tY 0 '1)dlt'2~ps
- ;j . ..,...venterls6011('am s.2 04liooo amps
Supervisor License Number 2 Cf '70 - ~ Over 1000 amps/volts
~ Reconnect Only
Expiration Date fO-1 - rl
Constr Contr, Number '70-/2 c..
Expiration Date )(\.-I-qq
,
~
,.
Sum
$ l~.,OO
. $ 4(),OO
S 50.00
$ 60.00
$100.00
$130.00
$30(1,00
$ 40.00
C,
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40,00 Alloo
$ 55,00
$ 80,00
see' "B" above
"
Nell, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited' Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t
E,
S. SUBTOTAL OF ABOVE
18t. State Surcharge
3Y. Administrative Fee
TOTAL
$ 35.00
$ :~,OO
not included)
$ 40.00
$ 40.00
$20.00
$ 36.00
if (). f.t)
. 1, ft)
1,20
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