HomeMy WebLinkAboutPermit Electrical 1999-12-2
.
SP.~'ELD
The following project as submilled has the following
zOning, and does not require specific land use
approval.
Zoning
Date 1'2..~;)'-c;,
97477 \
7 te~3'R1'9 Signature --.::f L.V
l"D tz-.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
1 'i< '2 Old IJ'f'AJrzl
. A.
LEGAL DESCRIPTION
/?n:1, Z ~ ~ 3 t'):2/02-
JOB DESCRIPTION
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,
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 contractorDfd,rk,t;,d ?,/r"I1'MtLK
Address fJ./J, bpx tl1J61/9!
City f"'Q"';11. Phone L./<'{I/-Q07<it'
Supervisor License Number _~q/.JI.J;'
Expiration Date '10 fOl.
Constr Contr. Number t)9: 1L/5
Expiration Date . L{ I 00
. Si1Jft t~Electrician
~ - ~ D.
Owners Name -411 ~/f /JIf) Y- f)/(II'/7/JII/;{
Add ressJq'j9, IJ,/Jr1flJ'l Axr
Ci ty 4/)/ q'AI Phone L{?it!:'- (}/J '10
OVNER.. INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------------------~- -----------
DATE: 1)..../1-/'7 J
RECEIPT I: 7r.. ~J.h /1
RECEIVED BY: '-" ~ ~:(~L
ELECTRICAL PERMIT APPLICATION
3.
94/tJ /5
COMPLETE FEE SCHEDULE BELOV
'I:a. ty Job Number
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Rome. or
Modular.Dwelling
Service or Feeder
$ 85.00
$ 15.00
. $ 40.00
.B.
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 1000
$ 40.00
$ 55.00
$ 80.00
volts see "Bn above
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 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 ~O
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 1.. 0' 4/J
7% State Surcharge I. dU
3% Administrative Fee .i,O
TOTAL 1.1., {)(/