HomeMy WebLinkAboutPermit Electrical 1999-7-14
The following project as submitted hes the following
zoning, and does not require specific land use
approval.
Zoning
7-14-<;''\
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225 FIFTll STREET Date
SPRINGFIELD, OREGON ,l/l,{tUed Signature
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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1.
JOB DESCRIPTION
::=l.F. "RE:::"5.
Permits are non-transferable and expire.
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractor~~ ~~
Addressk"'9'97b' ~ LOA/e
City nLU'!N.e Phone bYb-OCfC5'
,I
Supervisor License Number ~~~~
Expiration Date /6/// CJ/
~ C.
Constr Contr. Number ~4/~~J'
Expiration Date q /.36/ tJt'J
,
Signatur~rvisin~lectrician
( ~~,#ipLMO
OvneL's Name ."")/ ~.RA 8..td1"'s,
Address' "~~ ii-1!$. b\J7TJ(;I1/€/Sc ~
Ci ty c..eerwt?LL Phone 7#"" fPJ2tP1
OYNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT D:
RECEIVED BY:
3.
.' ELECTRICAL PERIlIT APPLICATION
. City Job Number . 9cr/Jt3 /5,
. .
COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less L/ $ 85.00 ~5
Each additional 500
sq. f t or portion
thereof ~ $ 15.00 sD. <>C
Each Manuf'd Home. or
Modular'Dvelling
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
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 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
.,
D.
Branch Circuits
New, Alteration or Extension Per Panel
One \":ircui t
Each Additional .
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or' irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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