HomeMy WebLinkAboutPermit Electrical 1999-10-1 (2)
~
,)."-.... .-..."
.
S.NGFIELD
.' .i
"
The following project as submitted ha.s the followlri'g
zoning, and does not require specIfic land use
approval.. LOr<
Zomng .' u
tD - \ '-- g,
OJ3.
,
'ELECTRICAL PERMiT.APPLICATION
Gity J~b Number_ G\q \ 3 Li ...(
225 FIFTH STREET
SPRINGFIELD, OREGON ~~~1
INSPECTION REQUEST: 726-376Q.
OFFICE: 726-3759 AuthoriZecfSlgnature
COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLA'gON t
~3R I>O_;sy ~Tnae
\ 7 0 ~G~!3ES~IOn I 74 f
,
i ns- a Ila+ ion
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
. A.
Sum
Cost
Items
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof .' i ..,..,.......:~$ 15.00
Each .M~l1~f'.d .Hom~, .or.~...J r':.n!t,)~ .Isqwnu
Modul~rDwell.ing . ,:: '.,., "U';~ ':;L:~ 3:J!!'BO
Service or fe~d.~J.:,."JJ;".J l\l~i.V .$oftO;j990
. .. I ' " . "'",' '"~""O UI
.... # ..' ' ',' ~ . ' to ,-\'; .",", I.-.~ {/ .
Ser,Vlces or Feeders ,-/" 'II' ,Yl.i"(II\'
,\ ..... 4. \.{ \... ~ .+k#":rl~ ~
Ins'talla t i~n, Ai t~5af.~9,~ii ~8;nA IVIOjlDj
or Relocatlon: . . " .
. ,:<.t ......_. r-' ..I~ . .' . .. - I '\::'~'i ~.J.~'d
JOB DESCRIPTI,ON'
DelV 0 QV\t=>1 .'::)ov
I
Permits are non-transferable and expire
if work is not started within 180 days
of iss~~l'~~f work is sus~~~
180 dayTsH. IS PERMIT SHALL EXPIRE I NOil
. , Mn~~JH S PERM\T IS '
2. co~IZfNWmxA~BR&D~FOR .B.
r.nMMENCEDORI~~l~' -j I II -
ElectriC'a'l t08t.4.a~e~ L>.s EieC!-1Y/~.Ln<!.4
ANY18 U~lr . '
,.AddressjoZ Cf~ &~ l)~_..
Ci ty ~e" Phone to88 -{;, I:J. {
superviVor License Number c2'l/ <1 S
Expiration Date 1010//0/
.
$ 50.00 50,.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
.
Constr Contr. Number ~() -1'19c-
. Expiration Date /0/01/00
Signature of Supervising Electrician
( ~ /~^/a'itCl/7 ~/~
Owners Name &4' hl1t'"a Shv-O-A,A~r D.
Address 4-q 38 bo i Sv S+re~t
Ci tY5p-(1fol. q7~<9Phon: 746-QO 17
. OVNER.. INSTALLATION
$ 40.00
$ 55.00
'$ 80.00
volts see "B" above
200 amps'loT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
, ,.
New, 'Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$' 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 50,09
7% State Surcharge, ,.' . ~t> ::;U
3% Administrative Fee I ~ ~ 0
TOTAL .s.~ c; , () ()
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------\----------------------------
DATE: \ 0...... \ .... ~ ~ .
RECEIPT #: 0.::55741
RECEIVED BY0 . fV\C1'o lAG. rl\.;--::::.