HomeMy WebLinkAboutPermit Electrical 1999-12-7
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The following projeel as submitted has tha following
zoning, and does not require specific land use
approval.
Zoning L. h (2-
1'1.-,"<; "
97l/l"'}horized Signature. cK...)
726-3769
Date
~~vl~~ PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
7'1//47
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
--1:..7 S - Nt CIMUtf VI.
A. New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
LEGAL DESCRIPTION
/"7(93 ~2-/2- fBJf/J..,~
Sum
Items Cos t
.J:!..{J
1000 SQ. ft. or less V $ 85,00
Each additional 500
sQ. ft or portion ~
thereof -..:J:.. $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder .$ 40.00
JOB DESCRIPTION
{t'1t1/~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~~IJ/? ~
Address;2 70S! -4 ."') J:2 L/J (' <r ~ ,
City etA Ylcr; /j Y\. Phon~ t f( R 'I ~1'/
t7 .
Supervi.sor License Number r2 06 (, 5
Expiration Date 10,/a VOl
Constr Contr. Number :1 O-LS::?C-
Expiration Date /c>/r>i/F>/
$~:/7~!:rician
owner~ame~ Ym,/
Address
00
Services or Feeders
Installation, Alterations
or Relocation:
,B.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
D.
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
Ci ty Phone 12";" {),S -12-
OVNER INSTALLATION
$ 2.00
E. Miscellaneous (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
5. SUBTOTAL OF ABOVE 2- -sn
7% State Surcharge i/.' , tD
3% Administrative Fee 7. '70
TOTAL -7_ '::i ~
. .::... --' ..>,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
12 - ? - 5' f
-:?&" 5~_ .)
,cf~~'1
DATE:
RECEIPT Ii:
RECEIVED BY: