HomeMy WebLinkAboutPermit Electrical 1999-12-2
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The following projecf es submifted has the following
lonmg. and does not require specific land use
225 FIFTH STREET approval ELECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning c..e- '
INSPECTION REQUEST: ngatJ769 12-- 2..- 4 i Ci l:y Job Number &i'Cj I I ~ 2-
OFFICE: 726-3759 , 1
Authorized Signalure -1lM..A rt'l.l1J'LETE FEE SCHEDULE BELOV
1.
LOC~TION OF INSTALLATION
211S OL'1'Kf>IC '5T,
LEGAL DESCRIPTION
17 0 'J., '2<;;' 4, () /dO /
JOB DESCRIPTION S
I NJ-rAU. S/bN
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 FS~A
Address rC/o OAICP/t-rCl-f 'f2b
City fU(;;fJJl Phone 91402.,
Supervisor License Number C;9-4 Sib
Expiration Date 10-01-02.-
Constr Contr. Number 111230
Expiration Date 02-07. -01
\:r~r,e Of(?er~J:g Electrician
Ovners Name f5MVLMJ) VAUf.Y MQ
Add ress 33G:>O tN. / (Tf-/
Ci ty z,u6EA)~ Phone 342 -Z&u,
OVNER INSTALLATION
The installation i~ being made on
property I own vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEiPT #:
RECEIVED BY:
Il-d.~c,<j
~"'3)n
tJ.,W
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. f t or port ion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
c.
Temporary Services or' Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over'40l to 600 amps
Over 600 amps or 100u volts
$ 40.00
$ 55.00
$-80.00
see "B" above
D.
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
~Each installation
Pump or irrigation
Sign/Outline Lighting ~',
Limited Energy/Res
Limited Energy/Comm
not, included)
5.
SUBTOTAL OF ABOVE
77. State Surcharge
3% Administrative Fee
TOTAL"
$ 40.00
$ 40.00
$ 20.00
$ 36.00
60,00
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