HomeMy WebLinkAboutPermit Electrical 1999-12-30
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The following project as submitted has the tollowi
zoning, and does not require specific land use
approval
Zoninr
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Authorized Signature ~
.1. l-VMl'LJ;Tr; J;r;r, ,SCHEDULE BELOII
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-QW69
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
?.l15 OL'1"nF>lC. 5T
LEGAL DESCRIPTION
1703 2S 420 /20/
JOB DESCRIPTI~~r
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Permits are non-transferable and expire
if york is not started within 180 days
of issuance or if work is suspended for
180 days.
2 . CONTRACTOR INSTALLATION ONLY
Electrical Contractor ES i. A
Address \2./0 OAI::.P!'r7Q-f 12b
Ci ty f))SW'G Phone 4eS-5S4~
Supervisor License Number 594 5/6
Expiration Date fO.OI-Of
Constr Contr. Number 11/28&
Expiration DateL:Y,2-{)Z.()!
Sinr~ O~:i;tsingElectrician
Ovners Name EMVZ4<J) VAi/U Au10
Address 3'Y.J;O W, 1/+1,
Ci ty f)J6tN[ Phone 34 z. 2C12v
OIlNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE~-------j2C-t~o-~~-l1'-~----------
RECEiPT 1I: . " ' I I;>", _
RECEIVED BY: 't\. . rill ')/ \
M I!..(' ---'
ELECTRICAL PERMIT APPLICATION
r;.v Job Number q q II ~7
A.
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
Cost
Sum
rvo~
it~O,O' q..~ t. or less
-4 Ea-ell>~dl t ional 500
U~~':fe1Io!;'P.3ortion
C041Ji,Q,g~~O:DIl' t;!jl.l.cx/:> $ 15.00
,q1\t0.a&i1l.~ur r~F'.!!o..me~~/,c-
Ts'OAA CD,'fSYfi~p l'l-tcl11
Ser~ ~~r !'i~f\,V; 'l:f?/iAr,. O1&r40.00
~OD, 01\tf; lo:J1\tO
B. Services or Feeders l),c-Of? .,.
Installation, Alterations
or Relocation:
$ 85.00
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
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
above
$ 40.00
$ 55.00
$.80.00
see "B"
volts
D.
Branch Circuits
Ney, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Hiscellaneous (Service/feeder
~Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
'not, included)
5. SUBTOTAL OF ABOVE
7~r. Sta~e Surcharge,
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
-40, OC>
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1.2.0
-44.00
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