HomeMy WebLinkAboutPermit Electrical 1999-1-26
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;3;; ij'\Q 9ntJ~{j@ u .mltted h.a.s the fol/owing
af:iiiH\JVai ~ no! reqUIre specIfIC land use
, g€\fliflt} _ ? L 0
225 FIFTH STREET r'?lB I-~ (,. - ~ "1
SPRINGFIELD, OREGON:.,;9,;:rkJJ %\~~h!~ . ~"
INSPECTION REQUEST: 726-3769 '."
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
5;)..5 /Y) ; tI ST.
/7 03 '3S 0<.3
LEGAL DESCRIPTION ~ ~.f \
ADm I Nt vlA17 ~ ;0 . 6 u i..L'f\ IN C( cry50Q
ATTENTION:O!~qr law requires ~ou. to
fdmJW~eS~PfMfbY th~ urn
r-Mfiti~atinn C *"'Y'H~ r Wl. ,1/ Y
. OA e 1lI'1::11 lunn
In R 952-001-0010 thr Jnh~.6 R
PeOI])~@~YOOihcW80t~fr~l.n5Of.e'ta Te' ~Og*pire
i f v~amn~ihl318sn~tarr~~We~1 ~q~ rl1~ ~ys .
of heJ~~a P1rdf"'Sb<f.~'tMt~~d for
180 days. r t e. regon Utility Notification
Center IS 1-800-332-2344).
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor Li cense Number \ D'\3 f3
Expiration Date \0/0 l/ () \
Constr Contr. Number
Expiration Date .
The installation is being.made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Sigilature:
-----~------------71-------------------
DATE: ']'-' 2-{t1--q~1
RECEIPT #: (~6 ~&-;J/ .
RECEIVED BY: " ' ~ V\J!).-(lt-....~
"
ELECTRICAL PERMIT APPLICATION
. Ci ty Job Number. q '61Sqg
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential~Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each addi);.,i.ooal 500
sq. f t i'J~TJ~~:ion
thereofrHIS PERMIT SHALL EXPIRE~FJf$-l.ED'Q)JORK
Each Manuf'd Home or
Modular6,lb\.P~~ili:hg.' UKlDER THIS PERMIT IS NOT
Se rv i c ~(9;J,:,Mf.~ee~d~'r')R IS ABANDLSN?iOlJOOR
B.
ANV c, '-'I" T'I.c....,
Services or Feeders" .\ ".'.
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to. 600 a~ps
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"oT less
201 amps to 400 amps
Over 401 to 60b amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
$ 35.00 3.::::~
One Circuit -'
Each Addi bonal
Circui t or vi th Servicx ,..J ~
or Feeder Permit ~ $ 2.00 ,
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
S 40.00
$ 40.00
S 20.00
$ 36.00
39~
ioQ5
\ . 1'7
L.t~.\~
SUBTOTAL OF ABOVE
5% State Surcharge'
3% Administrative Fee
TOTAL