HomeMy WebLinkAboutPermit Electrical 1999-3-24
The fOllowing project as aubmltled hes the following
zoning, end does not require specific land use
approval. w- .
97477 Zoning I
['f'!'[ 3:~~ ':1-.)4- 'i 4
hUlhorizad Signature ~
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1. ifg~O~~~E~~TIOfsCfiM Idtls) A.
LEGAL DES PT ON '
/7 () d- ,:;>00 0 - 0 (T07) I
J01> DESCRIPTION 1000 sq. ft. or less
fUl1ntShi TNSTlJil rioJA- fJllNeL - elrS,t;Nl>tJF 50. ~1.tJ6 Each add it ional 500
, , , . sq. ft or portion
~q\~\ Permits are non-transferable and expire thereof
'I if work is not started within 180 days Each Manuf'd Home, or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor L .If, O/l1r6Atrm, I;t/c-.
Address (Pj ().I: "fY 'I ~~e:eI
Ci ty SP!l/!V6hetIJ Phone 7l/-71 U:>~J
,
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.
Constr Conn. Number t}f(P11
/Z/IJ/tJIJ
. .
Address ,dflS t2f{1.fJtiJk--
S II u r ,I One Circui t
Ci ty jO 'j), Phone qZO/ 722, 77/:3 Each Addi tional
IMy'frN /~i:NI57l!K. Circui t or wi t~ Service
OVNER INSTALLATION ~/ or Feeder Permlt
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST,
OFFICE: 726-3759
Supervisor License Number
Expiration Date
Expiration Date
/
Signature of Supervising Electrician
~,.~--LL-
Owner~ Name SC-II-fJ!J- fo!ls
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
\
/
~~T~~~~-t'1-~------------------~
RECEIPT #: OS' 6' dU /, ,
RECEIVED BY: J1 .r f1 a/'~ a ;1/ ,,-.
, -
ELECTRICAL PERMIT APPLICATION
'Ci ty Job Number q q 0390 '
6SIlPhETE FEE SCHEDULE BELOII
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Cost
Sum
$ 85.00
$ 15.00
,$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps --L--
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60,00
$100.00 /.f){2j)O
$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 volts
$ 40.00
$ 55,00
$ 80.00
see liB" above'
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
$ 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
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ,I (JrJ, -
5% State Surcharge .5.00
3% Administrative Fee ,~, tJO
TOTAL -LoX . ~