HomeMy WebLinkAboutPermit Electrical 1999-7-13
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The. following project as submitted has the following
225 FIFTH STREET zoning, and does not require specific land use
SPRINGFIELD, OREGON a9~4i7>il. illl.
INSPECTION REQUEST: 726-2J~ lYV
OFFICE: 726-3759 Date "'1/ rh .c1'1
1. LOCATION OF INS",A!IlWl'llilBbgneture fi(}:'
d,;) d- J "1nai n .sI-. - (}.
JOB DESCRIPTION 1000 sq.ft. or less
/f}S-ta II See u r ,'+,/ Each add it i onal 500
sq. ft or portion
Permits are non-transferable and expire thereof
if vork is not started vithin 180 days Each Manuf'd Home or
of issuance or if vork is ~€Pl~fH for Modular Dvelling
180 days. THISPERMITSHALLEXPIREWi'M~8AK'eeder
2. CONTRACTOR INSTALLATION\lOlRllmRIZEDUNDEIilTHISI?EV1MlISSbIDlfeeders
COMMENCEDORISABANfJoN~illroRon, Al tera tions
Electrical Contractor Son i ~~f \oJtJ~lffi1~elD. or Relocation:
Address P.O. Box 21009 200 amps or less S 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps SlOO.OO
601 amps to 1000 amps S130.00
Over 1000 amps/volts S300.00
A~9n!)I~ct Only S 40.00
f II .VI b\;orl 'ilVv '8Q
o OW rules ado !ti;f}r . Ulfes YOu !D
~tifiCfftmi''<t5M~.Jtt.JbJ;; ~S:>tn!lcE8.!lg~ys
in OAR9!32~~6J'fo{~:11t'~dlda:>DePrl)~,elOca t ion
0090.~ ma 'ob'''; ugh OAR 952,001.
eal/' hi!m,s Ct!'n~s ot th.awJeg b~ 40.00
num 5H$1tttro(~OQj:li:lJ\Pte'Prhgl'le $ 55.00
prtt SlJ.O(i((l<OO~till!'l!W' . S 80.00
~e'illtBtJ(}; a61~I)'~'2~~~~$1 see "B" above
LEGAL DESCRIPTION
/763 31. f..{?
D3? Ot)
Ci ty Euuene
Phone 461 - 5678
Supervisor License Number '32-,S. \ If
Expiration Date
10/1/"}q
Constr Contr. Number 65149
Expi:'ation Date
6-28-00
Signatu
"-l"'V
Ovners ame &
Address dd,;l.1 main s4.
Ci ty 5f' in.jPif' td Phone 7410" 7,Jli,
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Ovners Signature:
--------~f-k---------------------------
DATE: V11/71
RECEIPT" ~: O'S '11. S~' ", I /j
RECEIVED BY: ~ ~t>>-/
ELECTRICAL PERMIT APPLICATION
q'i' 0 7 J Y ,
~
City Job Number
~OMprF.TE FEE SCHEDULE BELOV
Nev Kesidential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
Cost
Sum
$ 85.00
S 15.00
S 40.00
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res S 20.60
Limited Energy/Comm . --1-- S 36.00 ~
5. SUBTOTAL OF ABOVE -3~ 07>
5% State Surcharge /8'0
3% Administrative Fee 108
TOTAL ;l,~ S~