HomeMy WebLinkAboutPermit Electrical 1999-9-29
Sep-2S-99 03:20P
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P.02
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The following proiecl as submitted h~s the following
. and does not require specific land use
zonmg,
approval. /.... "
215 FIFTH STREET Zoning [},.... et.EC'IRlCAL pEl\HIT APPLICATION
SPRINGFIELD, OREGON 97477 ^_-'\A_ c; ej qn(). / ,-'7.1'7.
INSPECtION REQUESTI D"'~~ ~~W City Job Number I-'Z-IP./ /
OPFlCEI 726-37:;9 Authorized Signature l':l-'
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTAL~TION
--3 '7.0 7 N/J>'(7J:! ~-:r;
LEGAL DESCRIPTIQN
l~b2. t9?:> 1.4 .L")J "),1; /')
,. I
JOB DE~FTION 1000 sq..ft, 'or less ~
~~'I~E- . Each additional 500, -.
v . . sq. ft or portion.~.
permi ts "'rerAA!lF'mt\!lIf!;~~.-'=E":lI~IDlPlf<<EWORK theredf, ~., ~
~~ r~~~a~~;bMci~eJ~6~~~~~ISNOTE~~~u~:~U~~~1~i~: or
180 days. COMMENCED OR IS ABANDONED FOR ServicerornFeedllr
,.
2.. CONTRActblV 1$ISiI<iliiifllNll(}NLT .B. Services or Feeders
t:'", _._ \\ l l' Installation, A1teratLons
Electrical Contractor CVU:'yLD..iJ ~ H;iYlG or Relocation.
Address PH~'Ell3Z:..; loC) h)-I t')lVI~mnAve. 200 amps or less
Yo' . 201 alnps to 400 amps
City rLo/I(lL c{.14tA Phone LDD1-loClra. 401 amps to 600 amps
4 601 amps to 1000 amps
Suparvisnr License Number \DC) 'OS Over 1000 amps/volts
Reconnect Only :::=:
EKpirat10n Date
10 - (- 01
Constr Contr. Number I ?,\JIs,1
EKpirationDate ~-12-DI
S11:4: o~ctrici&n
Owners Nelle ~;AAJ)Y .~)'M~,d
Address-.J7Ai7 ('A,<;:NSr/;6;/,() S-r.
City ~. ~.1Phone~-3'l:Z1b
OVNER INSTAI.LATION
The installatlon is being made on
property I ovn which is not intended
for sale. lease or rent.
Ovners Signature:
DATi~-Cf~t('1:~~--------------------
RIlCEl....., UJV /I~ .
RECEIVED BY I if. rYI a('/Jd q~(I
, A.
New Residential-Single or
Hulti-Fami1y per dvelling unit.
Se~vice Included:
ItemS
Cost Sum
.] <.)
$'85.00 ~
1,1
$ 15.00 ~,p
,$ 40,00 ,:IC(;,,~
\-
$ 50.00
$ 60,00
5100.00
5130.00
$300,00
$ 40.00
C. Temporary Services or reeders
Installation, Alteration or Relocation
200 amps' '01' less
201 amps to 400 amps -----
Over 401 to 600 amps -----
Over 600 amps o~ 1000 volts
D. Branch Circuits
$ 40.00
$ 55.00 -
$ 80.00 -
see "B" atiOVe
.'
New, Alteration or Extension Per pene1
One Circuit
Elich Addi tional
Circuit or vith Service
or Feeder Permit
$ 35.00
5 2.00
Kisce11aneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3X Administrative Fee
TOTAL
S 40.00
$ 40.00
$ 10.00
S 36.00
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