HomeMy WebLinkAboutPermit Electrical 1999-5-18
The, fOllOwing project as '
:~~;~~~~nd doas not ra~Uu~~'~~~~~~ l,~~~o~~:jng
Zoning-kPf'L ELECTRICAL PERIUT APPLICATION
~~ft,77 '5 -'15- -- 0 (/ 3 c:
726-3T1" -~'i City Job Number I Q/ S /
Authorized Signature ~ - ~
3. f7lfDT~ FEE SCHEDULE BELOV
LOCATION OF INSTALLATION
5Q;:).t.j- \"Y\A\n s.."... A. Ne" Reside~tial-Sin&le 0=
Multi-Fam::y per ci~ell:nb unit.
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Service In:luded:
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LEGAL DESCRIPTION .
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JOB DESCRIPTION (\
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Permits are non-transferable and expire
if "ork is" not started ,-i thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
QlfiON ELECTRIC SERVICE
Electrical Contractor
Address ~O~"" ~~"::,"'}
Ci tYJ-,LA\"... ._ q~Phone ,g.4-~ . \ /nq.t
Supervisor License Number /::J.CL"'\. '"
Expiration Da te' 10-' - (") ,
Cons tr Con tr. Number \ ,.3. <;?-,9,'?, ( .
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Expiration Date q - /4 - OQ
siinatrre of Supervising Elec~rician
-{ "7.~rk (f) f}{Jf1A
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O":1ers Name~T (, )F;... ,~) (f/orn0.s
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Address SO 2.- r
::i ty 5: y/ {Jet
Phone "'Jcib ~J /1
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OllNEP. INSTALLATION
The installation is being ffiaoe on
p~operty I ov~ vhich is not intended
fo: sale. lease or rent.
) ners Signature:
DATE: S-/lt/1? .(.
RECE1n..:j1' iJ 1,Lf()w~!j I
' RECEIVER Bt;: .Xq' IA) /1,U
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Items
Cost
SU:7.
1000 sq.ft. or less S 85.00
Each additional 500
sq. fLor portion
thereof S 15.00
Each l1anuf' d Home, or
Modular 'O"elling
ServAq~fJr Feeder" S 40.00
fOil I NTION.O .
Setwd Ow Q't{eg~~~$1on law ra .
I~~i%CeM[,~tB't;).qll~ o~~ras You to '
o~~g~ea:ruI'OOIO ':!:sa rutas a~on Utility
2DA~Jl/IfIsgO'u~~ ;~Oitajn c~~Y:ChoOAf) ~~~h
2o't ~rAA-t J ~ ~t".t ft~M1e I.
401 ampsC~llt, I) r~ Ilt,,,l1e la{~Rh Y
601 amps to '11Ob-1lOlJp/;,,';"ry '''ot$~' .'tio .
Over 1000 amps/vol ts -':"-2"~).S3/jlC:60
Reconnec t Only S 40.00
c.
Tempora~I~Y~~s or Feeders
Installaf~~"~~eration or Relocation
200 amps'~~'t~SHAU. EXPISI&J5HWORK
201 amps"t'o"4'e'11~!JI~Ul:H f'H/SflEi:lI'soor-
Over 401CDMMIlN@.!!!OOFlI~/lBA~a
Over 600AN'l!'f8O'15A~iC5'O.tS's~Nl'i f.afjove
Branch Circui ts
Ne_, Alteration or Exter.sion Per Panel
-L
S 35.00 ?.<;;" c>.J
One Ci rcui ,
:=:'acl1 ..;cidi tiofial
Circui, or .'i th Servi ce
or Feeder Permi t
S 2.00
E. Miscellaneous (Service/feeder not included;
-Each installa tion
Pump 0: irrigation S 40.00
Sign/Outline Lighting S 40.00
Limi ted Energy IRes S 20.00
Limited Energy/Comm S 36.00
5.
.3.s co;{)
J "30
los
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SUBTOTAL ,OF ABOVE
5% Sta te Sl1rcharge
3% Administra ti ve Fee
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