HomeMy WebLinkAboutPermit Electrical 1999-8-4
Tht IOllowlng projec' B! sw~mitted ha~~h'loWi"Y
zoning, and does not require specific la e
approval: . /) ;
Zoning . ~ c..-..
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SPRINOFIEl1.0.
THISPER~ITSHALLEXPIREIFTHEWO~K ~
225" FIITH STREET AUTHORIZEDUNDERTHISPERMITISNEffECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97fflMM!=NCEDORISABANDONEDFOR 09/0)" 'i? .
INSPECTION REQUEST: 7~3769" City Job Number f ~
OFFICE: 726-3759 ANY 180 DAY PERIOD. ." .
3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION
/9J~ MA//V (AI"AC-HF') A. Ne" Residential-SIngle or
. ~ Mul ti:;Fami.ly pel:. d,,;elling uni t.
LEGAL DJ:~GRIPTION JTENlIOI\I:uregu1. ;aw 's\:!]l'{.\l~U~~<;luded: .
I7D3") ",'17- I? J-~. _a\_~"'rlnlltedbYlheOre9 eselfortl\ Items Cost
IUIIV" '. - C nler Those rules ar 00;
JOB DESCRIPTION Notificat~~~-O~;.Oli;OlhrOUgI05'0\\1;~~%'t!i b~r less
C on,p/f.t..f,r<'h- -r )., S )./~og,~ __ay.QblainCoPi<Eaehtl1fdlll!'t1.0nal 500
OU\:Ju. .lV,"'" nter.(Note:tll(pe~.tl.118EeRortion
Permi ts are non-transferableC~l\ij91lJ&~lf~€t)re9Dn UtiltllJ~lfa \0 I
if "ork is not started "i thi1nnmrola~ 'f;,,; 1.P,00.33'!!1ctlMlanuf' d Home or
of issuance or if."ork is suspend~6n or Modular D"e1ling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor /f1.5~~ 6'~tc~
-
Address /5// /,/..,1,.0"/
Ci ty 5 ,/'> f~..?' Phone?.2 6" r;"? (7 I
Supervisor License Number' yo::;J%
Expiration Date /t?J/ /'0/"7
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Constr Contr. Number 9";)...">0 Ii
Expiration Date ?/.c /0,
Signature of superViSing.~ctrician
..4 ~~". ',,-
O"ners Name J/M .t: ~,......0
Address "Pb./ t:' T ~A>4 L?~/l/' t/~~
Ci ty ?~ '7,F-", ~ Phone 7 ~7 ~ 5'.><'r
OYNER INSTALLATION
The installation is being made on
property I o"n "hich is not intended
for sale, lease or rent.
.
Ovners Signature:
------------r~------------------------
DATE: <( /4/11 /).
RECEIPT D:. (J?,C;/o<.f.! /
RECEIVED BY: ~ ~~
B.
Services or Feeders
Installation, Alterations
or 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
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "8" above
Ne", Alteration or Extension Per Panel
One Ci rcui t / $ 35.00 Jf'()(]
Each Addit iona1
Circuit or "ith Service
or Feeder Permi t ::>-. $ 2.00 v. 0 0
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
3'o()
/92
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