HomeMy WebLinkAboutPermit Electrical 1999-1-29
Th. fOllOWing pro 'e
lOtJlOg and do J ct as SUbmitted has th
approval es not require specific I e dfOllowlng
an Use
ZOning _ Q.. <!.
225 FIFTH STREET Dat .
SPRINGFIELD, OREGON 974// rt:J.."r~ 'i:7
INSPECTION REQUEST: "1"~~7!j,@nature J.J -
OFFICE: 726-3759 ~
3.
1.
LOCATION OF INSTALLATION
1)J.trn 'VVvl\\'V\?A
City E\J~
Phone 4~S- mZ '2.
2'( "1()- S
Date Ib- /--61&.C)/
Supervisor License Number
Expiration
Constr Contr. Number 4?.C, (~
Expiration Date 12-/O-Q'(
Signature of Supeevising Electeician
~g 'p~~
I
Owners Name \Jt; \\'.\-\ u. 1_'l2t,1\\t\ (A),
Addeess -'1'>"000 VVVII\V'. 0-\-
Ci ty t; \,c..J Phone ,?'li-("j79-/J.
OVNER INSTALLATION
The installation is being made on
peoperty I own which is not intended
foe sale, lease or rent,
Ownees Signatuee:
~~~:~~~~~-~~~~---------------
RECEIVED BY: -/7 ' /??d.('.// ()
ELECTRICAL PERMIT APPLICATION
-= Ci ty Job Number Q y., 15 O~
COMPLETE FEE SCHEDULE BELOY
Cost
Sum
A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION '*. _,service Included:
/1 ()"'> .3(; ~I 0070-0 _ Items
JOB DESCRIPTION "" 1000 sq. ft. oe less
"'1iill1 ('1- ') hVl\)1'"<0 , . Each addi tional 500
ATTENTION:Oregoil'lawreqUlres you 10 sq. ~HJb\.CP:6ct ion
Peemful~WU1Ull3S'\ad~riII'fteEaIl~carldti'~l!pi re thee,(j)i'f. PI=R'vlIT !-1HAII E"~'--' $ 15.00
if NQlIlIcatlol'l'0t1mtllta1itml3 R~l!:h im3 $BOfoo'3.ys Each Manu f' d Home or '" "'~ ,F 1 HE WORK
of ii-1'G}ll!'lIOO2-00"l..j)OlQ~Ill)lQuila (s,.\Js~:era1-foe ModJHTf~iD'iJ\?J:nlrigDER THIS PERMIT IS NOT
l800SOO'.S'fou may obtain copies of the rules by See'u_ce oe'(Feed~,r;S i\c.^.~:::::--JE~ F't? 00
!1~1!!D9 the center. (Note: the telephone .'.. R
2. S1'tlffitMqo~eI<!i/i;1Mr~i\'tA91N&tikation B. Seevices oe Feedfrs' ,
Centerisl-800~~}344), ~ Installatlon, Alteratlons
Electrical Contractor .Irlpr;;, c..le<::Jrl'C('1~r Relocation:
Address\CfS Mach~oY) 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
$ 85.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Tempoeary Services or Feeders
Installation, Alteeation or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see IIB'I above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feedee Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting~
Limited Energy/Res
Limited Energy/Comm
E.
s.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administr~ve Fee
TOTAL .
$
$
$
$
9J [) . on
.,. . 8<J
.L 40
---...9 {~ '~.D
40.00
40.00
20.00
36.00
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