HomeMy WebLinkAboutPermit Electrical 1999-10-28
The following project as submitted has tha following
zoning. and does not require specific land use
225 FIFTH STREET approval. LD ~
SPRINGFIELD, OREGON 9747'loning
INSPECTION REQUEST:DafO'?{; ~7!;O \ O. ;l ~ .q 7
OFFICE: 726-3759 A th ' d S' t cr
u onze Igna ure . l-vnn..ETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION \ \ . ,). ~
II <..j \ ~_<\:: f' '" -z: Il... ;-\\..J,-,\ . A. Nev Residential-Single or
, sos;d <3't'\- Multi-Family per dwelling uni t,.
LEGAL DESCRIPTION ~ Service Included:
Ii 0;;:) ~f., ,":30 OJ ~O() Items Cost Sum
JOB DESCRIPTION,l
N\f\",uS:<.n r J,v-...... 't'c:O""-"--
Permits are non-transferable. and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR
Elec trical
nlJJ~
/
Address
Ci ty
Supervisor
Expiration Date
Si
ture of Supervising Electrician
Owners Name, ~.\ an....' ~p c Ie-
Address
S'1:::L.D
()..J (' ~ rn &+
1cfc-.1-(oq~1
Ci ty ~(; (\C.r~.Q'~Phone ,
01lNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
'\..~sv..."':'-' '-Q"" ~
-----------7T~-------~-------------
DATE: / (J :;::Ji(' "--LI
- ""'
RECEIPT 1I: _ ( }</"/J/ J5~ , ,
RECEIVED BY: / ) .-, Y!rJ('/7a CI ()
ELECTRICAL PIOOII~PLICATI03
City Job Number Lf'Q/d6 .',
1000 sq.ft. or less
, Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
,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
$ 85.00
$ 15.00
~ tin, --
....(}JIt.,- ,$ 40.00 .:wL..:-
$ 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 600 amps
Over 600 amps or 1000
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
, .
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL "
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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