HomeMy WebLinkAboutPermit Electrical 1999-10-6
14116 rnY-\-\~ ' .
The following project as submitted has tha following
zoning, and does not require specIfic land use
225 FIFTH STREET approval. (' ( B!.ECTRICAL PERIlIT APPLICATION
SPRINGFIELD, OREGON 97477 loning , -
INSPECTION REQUEST: 726-3769 \ () _ ta _ C! q Ci ty Job Number 190 l' () r
OFFICE: 726-3759 Date. .
1. LOCATION OF INSTALt'AIfl~~o Signature ..J4o'l.
/,l~& A, /"7,0",''-'" I A.
LEGAL DESCRIPTION
/703 Sv 3~ Ll2>COQ
JOB DESCRIPTION
;('F-p,cAcr ,I<?~S'T
7b /?~/'F~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Eloctric"l Contractor Able Electric
Address 5511 MAIN
Ci ty SPRINGFIELD Phone 726-6701
Supervisor License Number 30235
Expiration Date 1ntn1/QQ
Constr Contr. Number 92506
7/16/03
Expiration Date
Sianature of Supervisin~ Electrician
A-~ -:;:L ~
OWners Name At. ".../
/=o5E'-;:7
~AI//V"
Address / ~ ytf A
City.5'/,.J:ZO
Phone
OIlNBR INSTALLATION
The installation is being made on
property I own which is not intended,
for sale, leas@ or. rpnt.
OVners Signature:
------------ ~--------------------
DATE: 10- ~ - 7 '7 '
,'-",-lHh .: ! {<" ;-S-/Yf ) ,
RECEIVED By:.n, rno(l/?tl r/r)
r~M~'VTP FEE SCHEDULE BELOY
Nev Residential-Single or *
Mul t~-Family p<lr dw81ling uni t. ", ., .
SerVlce Included: '
Items Cost 'um
$ 1l~.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
ther<lof
Each Hanuf'd Home. or
Hodular'Dvelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Re1ocotion.
$ 15.00
$ 40.00
$ 50.00 /17,oD
$60.00
SlOO.OO
$130.00
$300.00
$ "0.00
C. Temporary Services or Feeders
-Installation, Alteration 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
Reconncu: t Only
D.
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
S 40.00
$ 55.00
S 80.00
see "B"
above
.'
New, Alteration or Extension Per Panel
Ono Ci rcuit
Each Additional
Circuit or vith Service
or Feeder ~ermit
5. SUBTOTAL OF ABOVE
1f% State Surcharge
3% Admini$trative F<lO
TOTAL
$ 35.00
$ 2.00
B. Hisce1laneous (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
,.s- 0,0<:>
.)50
;f"C/
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