HomeMy WebLinkAboutPermit Electrical 1999-5-14
The following project as submitteo has the tollowin
zoning, and does not require specific land use
approval.
Zoning 1- i> YL
974TPate S -I 1.\-- ., i
726~~zed Signature f'G....)
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. .].OCWON~,F INSTALLATION
. "'II( Il Ltf) /L;
o
LEGAL DESCRIPTION
.-3lJi: DESCRIPT~ . . ^ /'
- I '€A I 'f YO w<:-I
Permits are non-transferable and expire.
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
2. CONTRACTOR INSTALLATI~NLY
~Electrical Contractor~
Add~ /'
City ~ Phone
superviS~icens~~
Expi ~on Date ~
~
Contr. Number
'-
Expiration Date.
Signature of Supervising Electrician
Owners Name t ~ UJi-l-J D.
Address 3 Cf+3- ~ ~
City~ Phone 1'i~~j-
OVNER INSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
. ~otekdUz;A ^ - trg;&e;:~
"c_____________~________________ 5.
DATE: =;-14.-#--
RECEIP'F1l:.r 1, -:>~b ?-."j- . .
RECEIVED BY:)")'. fVJ!'l (111(1(7/ (l
ELECTRICAL PERMIT APPLICATION ~
r.itv Job Number qq()LjO..)
3. COMPLETE FEE SCHEDULE BELOI/
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sQ.ft. or less
Each additional 500
SQ. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
. $ 40.00
.B.
Services or Feeders
Installation, Alterations
or Relocation:
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' 'or less I
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
Branch Circui ts
New, Alteration or Extension Per Panel
One \';ircui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump oi irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
. ocJ
40.
~, (SO
i.~
4") . ~