HomeMy WebLinkAboutPermit Electrical 1999-7-13
The fOllowing project es s b .
zoning. and does not re u mINed has the fOlloWing
approval. qUIre specifIC land Use
20 . ~I ELECTRICAL PERMIT APPLICATION
97477 nmg.
726-ija}~~ 11~-0q
Authorized Signature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF I~STALLAT+ce
2.,LJ. 7'7 n{~rY\ pi
LEGAL DESCRIPTION "16'-' /.
17o"2-'3ooDfP U 7k-IQ
JOB DESCRIPTION
'7 Iln ~YYt p 5's::Y\/I'c:e
I I
Phone 4~S- CCtz 2.
Z'1 -=k}-:S-
Date I{)- I-~I
I'
I
Ci ty Eu~
I,
i'
Supervisor License Number
Expiration
Constr Contr. Number 4'2-C, {~
Expiration Date 12 -/0- C/1
Signature of Supervising Electrician
(li!urL I2A~~
. f _ 1\ I D.
O"ners Name..:.JD.+n 0 cOmm J..)10I'ca ;/~
Address 34' ~ 2- ~~
Ci ty 5~ C;LJ Phone
OYNER INSTALLATION
The installation is being made on
property I o"n "hich is not intended
for sale, lease or rent.
O'-'Oers Signature:
I
'.
--------------~-----------------------
DATE: 5/14'7 '7 _
RECEIPT #: . ~ 3"J 83D/
RECEIVED BY: ,.J W h.A
City Job Number r1~)r9
~ceMPTFTF ~EE SCHED~ BELOY
. A. Ne" Residential-Single or
Multi-Family per d"elling unit.
Service Included:
Items Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
S 50.00 SO.cD
$ 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 "B" above
Branch Circuits
Ne", Alteration or Extension Per Panel
.'
One Circuit $ 35.00
Each Additional
Circuit or "ith Service
or Feeder Permi t ') $ 2.00 4, Cf)
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
1_. '1 1000 sQ. ft. or less
2 Qk. to" b I (EaCh addi tional 500
b::nrr SQ. ft or portion
Permi ts are .non-transferable and ex.j!ii1'eNTIUN:tJf~r~reguiresyouto
if "ork is not started "ithin 180 dalAAvrulesad~b~ooy'QrSo6Wlll1IfifV
of issuance 01" if "ork is suspend~tiligi!ition Cente/:l<rn\\~e~u~\!''l'il:~~forth
180 days. inOAR952'001.0rYlift}'il6UgtR:iA~601'
0090. You may obtain popies 01 t~fes by
2. CONTRACTOR INSTALLATION ONLY calling th~ cen=~ . ttl1ftefE fOres .
. tfl\lmb~rfortl1e MtV~~lil IiOfiatlons
Electrical Contractor-8.uilde...-.:::. clec"tt;!l'(it~~f_ O.3!f.?-234'4): I
AddressiCfS Mach::.on 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
$
$
$
$
S4.cD
7..11l
---.L..f, 1..
~fl. 12..
40.00
40.00
20.00
36.00