HomeMy WebLinkAboutPermit Electrical 1999-1-3
The following pr 'eet aEjUbmitled has the following -
, a d do s t uire specifoc land use
zOning, n
2.2.5 FIFTH STREET approval ' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning , f\O\OOlo
INSPECTION REQUEST: 72.6-3769 , ~ . r;.~ Job Number ~~
OFFICE: 72.6-3759 f)ate / 1"i
, ,.-,uthorized Sig'r(alu'" ' -<>our=u:. a.E SCHEDULE BELOII
1. .;.oJ<A'fIJJ!l 01()1\~T~ALLATION
~~~I' '-J(\A' ,A. New Residential-Single or
Multi-Family per dwelling unit.
1<6t3~ION (X'P..()~ _ Service Included: Items Cost
~~":f~~" ~d .'pl
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
'-- NOTlC~-
CONTRACTOR INSTALLATION ONLY TH I;;,B. Services or Feeders
IS PEfltr1IT SHInstalla tion, Alterations
Contractor AUTp..o(.,/,,,, I'rjIf.. ~.~~8ft',/tion:
",./ -""cDUNQf::o FTHI:Wf'l
)I<IMMENCED OR .2,00 TttrifP&EAli'1/~~s~.RK
, / ANY Ie,' ,201sarops to ~OOVamps
Ci ty 'yPhone ' : .1, Pr-R"~.gi . :~~~N~~I~~O a:~~s
Supervisor Licens Numb r Over 1000 amps/volts
Reconnect Only
Expiration Date
~ C. Temporary Services or Feeders
Constr Contr. NUmber Installation, Alteration or Relocation
/,TT, EN2I5eNamjl'lgOO1llaiJ,~IlSuire _ . J $ 40.00 ..1t2
o. ow rum.aij,~d~ tfllQ<b s y~- 'V_ $ 55.00
~ollficati~~lTtAA;~ ~:J;;;;.y $ 80.00
In OAR 95lMfrf-6lifu 1ffil811 rr-t ;vtj!l!~S see "B" above
0090, You may obtain c ,g, Ii. 52-001-
catllfl9 tBll~~W;ie~sot the rules by . .
number tor the Or' ',_ e telephone .
egon lJ~ihtv ~IM'f'
CN~, i#B5o!332?23'J'1j~ EX1t;~sion Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit
Address
Supervising Elect
City
'~J\~~
- Pho~ r#tol\~b
~
01lNER INSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
er:;z.ture:
D~~E(-_i~-r~13-.ljh'----~-:" 5.
RECEIPT tI:~JJ' \ ) ~~<:"''---0
RECEIVED B t:;<:1'b'"l- ~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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