HomeMy WebLinkAboutPermit Electrical 1999-10-15
, s submitted has
itle 10llQwing prOject ~ require specifiC land use
z;mlng. and does no .
approval. , ~/l...-
ZOOlng ..... "" "I
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97477 . zed Signature
726_376~on
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATIOtl~F INSTAltLATION _
U'Xla LJj('ho/CJ~ SI
-,
LEGAL DESCRIPT.10N
/703 d-;::}-.. / J-.. 0046,)""
< rIOB ,9I}SCIq:PTION
/1 16<'>/ d~,-<-
Permits are non-transferable and expire
if york is not started vi thin 180,days
of iss~ance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
'..,.. Electrical contractork/&~rfvi-.;titc..
Address.po...eO~ 'f2IGz... ~~"f:'J Ik ...,7'!4?"
City_~~"",,{:!.p Phonej)"R'X"-r40'
Supervisor License Number ~/~~ ~
Expiration Date /Cl/t}//C}/
/
Constr Contr. Number 2;;....13S-C-
..Expiration Date /",I/~()
Slrft of SO:~'.O'dOi=
ovn:rs Name Lf!L~r .JJonf.V),-.. D.
Address PO. .6 6,;(. 40&"0(,
ciJi,1~ Phone 3i...J~ -;;.010
OWER INSTALLATION
The installation is being made on '
property I own which is not intended
for'sale, lease or rent.
Ovners Signature:
----------------~A-OO------------------
DATE: /C) - /5- -/ ",'
RECEIPT #: W.') '10 '-f
RECEIVED BY: 1';. 1YIa.l'htiJ/.. <>
ELECIRICAL PERMIT APPLICATION
City Job Number qq -/ /;rq
3. COMPLETE FEE SCHEDULE BE LOll
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq. ft. or less /. ' S 85.00 I(s:'.-
Each additional 500 I
sq. ft or portion ,
thereof I $ 15.00 /~ "
Each Manuf'd' Home,or
Modular, 'Dwelling
Service or 'Feeder' .$ 40.00
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
$ 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 10qO voLts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Addi donal
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder not include~)
-Each installation
Pump or irrigation $ 40.00 _____
Sign/Outline Lightin~----- $ 40.00 _____
Limited Energy/Res $ 20.00 _____
Limited Energy/Comm $ 36.00 _____
,100. f57.J
. ',. fTO
J.170
IIU- ()v
5.
SUBTOTAL OF ABOVE
1qoState Surcharge
37. Administrative Fee
TOTAL