HomeMy WebLinkAboutPermit Electrical 1999-3-10
The fOllowing projact as .
zoning, and doas not raSqUbmmad has tha following
approval. Ulra speClf,c land Usa
Zoning ~ H A R- ELECTRICAL PERMIT APPLICATION
9~ig~~/b~ 3-11>-"14 Ci~y Job Number q({(S).1
Authorizad Signature K.uJ .
~ C811P1ETIi: FEE SCHEDULE BELOl/
A. Nev Residential-Single or ~
Multi-Family per dvelling unlt
Service Included:
Items . ~ost,'sum
B, Services or Feeders
~ Installation, Alterations
c.lectr,.C(Yl~' Relocation:
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
225 FIFTll STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1, ~OCATION OF INSTALLATION
q<?S i Un IYl
LEGAL DESCRIPTION
1/ () '). :l., d- ()(\O () <10)--
.. ,2~tDES~PTION I
\U...U.'1S ic\P AS3CYrr\
,
li\J~.'
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor~~
AddressiQS Mach~oY)
Ci ty Eu~
Expiration
Phone 4 \? s- 012 '2.
L.. 'j"1()- S-
Date Ib- I'~I
Supervlsnr License Number
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo'f
Each Manuf'd Home. or
Modular'Dvelling
Service or Feeder
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60,00
$100.00
$130.00
$300.00
$ 40.00
Cons tr Con t L Number 4 ?.S1 ( '"
Expiration Date 12'/O-Cf'f
C, Temporary Services or Feeders
Installation, Alteration or Relocatipn
40.cD
Signature of Supervising Electrician
~~
. - /" A,. D, Branch Circui ts
Ovners Name "-.)Lln ~:':,I O'\a/Yl~flU-->,r
Nev, Alteration or Extension Per Panel
Addressd735 17-+t- ,~-I-t'll'.d- ~ O(J
~ _ One Circuit
Ci ty, Yi.. J I1..P" Phone Each Addi tional
Circuit or vith Service
or Feeder Permit
Ol/NER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent,
Ovners Signature:
------~--------~----------------------
DATE: ? / ~D..... -\0
RECEIPT #: ~ ~ ~ \ t") . \
RECEIVED BY: , mLu ~()\ ()
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see IIBII above
0'
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5, SUBTOTAL OF ABOVE tfr).()()
5% State Surcharge
3% Administrative Fee
TOTAL 4 '''; - i'f )