HomeMy WebLinkAboutPermit Electrical 1999-11-5
Ai'TEI\!TIO,\. _~ ;;pc, I ,aw ,';:C dr::!; l'oe to
follow rules aC:"iJ'r~c; :~V '~e r.ir~"):1 Unity
Nolificrl''''-,',,- :.-, ',: '. :'-,,!orth
inl\!le:tollowmg proJeC! as 8ubmltt d h ...:;, " ~:.i:"-lJ01-
Ozoo,ng'and'doe ' ' i'" -,h~'~' - ,~~ the followln",,,
225 FIFTH STREET ~-'v · '. "- ,8,no ,reqUlre'8pecific'lahd,lJse~ -ELECTRICAL
P'p"oval. ''"~,. ..I'" ..,'t' ""He
SPRINGFIELD OREGON 9'r4\77 ~ '"~''' "\!;:~OO' ":.~"u.
INSPECTION REQUEST: n;iJ."6'Q.r:ffg~.rr.:.'" ''''::-:' : ,Ii:\:, i\loilflcalIO~ Ci ty Jo b Number
OFFICE: 726~3 7 59 Dale r.t>"".1rh;.-'HlOf}::Wq-2344).
Authorized Signalur Cf 3. COMI'LJ:.u> FEE SCHEDULE BELO\l
1. LOCATION 9F ):NSTALLATION ~-
----!.3L9-. (j ll.\ W)6 (' So \. ,A. Ne" Residen tial-Single or
' -:- 0 ---"-F" Mul t i-Family per d"elling uni t.
~GAk DEjCRIPTION Service Included:
n fJ f Z 7 1 L. ()~t()O Items
I
,
I
,
JOB DESCRIPTION.nr '
'Z.oO A-rnD ':::::'O:A vIce
Permits are ~on-transferable and expire
if "ork is not started "ithin 180 days
of issuance or if "ork is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Elec t rical Con trac tor-8.u.drlp"",,
Address\qS Mach~oY)
Ci ty E: U~ Phone
Expiration
4 ~ s- CNZ '2.
2..'1 -=k)- S
Date_ltl- /~I
Supervisnr License Number
Cons t r Con t r. Number 47.. q ( a
Expiration Date 12, 10' e;q
Signature ~~vi~/1~ian
O"ners Name V I~,)); L/. / fA/l..
Address ('2>~ ~~ 0 I~VhP('('
Ci ty SPftV05fi',fJJd.Phone "1 ?in-C;2.0']
O\INER INSTALLATION
The installation is being made on
property I o"n "hich is not intended
for sale, lease or rent.
Ovners Signature:
~~TE~-~----~-------~-l;r~~-----J'----
RECEIPT 11: 1750/('7 /Ill ()
RECEIVED BY: dV'vv
PERMIT APPLICATION
9'1/530
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'D"elling
Service or Feeder
Cost
Sum
B. Services or Feeders
r- Installation, Alterations
c:.leC+rl'C(I1~r Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100,00
$130.00
$300,00
$ 40.00
'So-ex)
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
4QQ...8\TIR~ 'or less $ 40.00
i"'D hMpS::to 400 amps $ 55.00
0ftlls ~1'fS~R&e&j}IREIUHI=~~R' 00
O.,,~. L...M1p.~. RS lOO(}VO'I ts see "B" above
Al)IH Lt:UUNDI:RTHISPERMlTISNOT
lIJGrnlMENij~E:lffi ISABANDONED FOR
;.,"t;l~qPNffi~h'l:/;r Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
D.
One Circuit
Each Additional
Circuit or "ith Service
or Feeder Permit
E.
S. SUBTOTAL OF ABOVE
7~ State Surcharge
37. Administrative Fee
TOTAL
"
$ 35.00
$ 2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
.s~ ~
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t:; r. of)