HomeMy WebLinkAboutPermit Electrical 1999-3-9
.
, bmitted has Ihe following ,
The following prolect ~s :qU ulre speclllc land use
zoning, and does no r
approval, AI) (2.-
Zoning . 0> <:::
'3-C; -, )
~
225 FIFTH STREET
SPRINGFIELD, OREGON 91JaYri./
INSPECTION REQUEST: 7"tf\io~lJil9slgnature
OFFICE: 726-3759
1.
LOCATION ~ INSTALLATION
/1 It. vnAh.st::-
LEGAL DESCRIPTION
h'e!"m~ 17 D3 d-3 '-f'-l 10 / 00
JOB DESCRIPTION
/ !f/(nnL- <)P-/u-fl'/Jn.., S;5~
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.
P.LECTRICAL PERMIT APPLICATION
.;i ty Job Number qy; / J.)3 d-
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Cost Sum
$ 85.00
$ 15.00
$ 40.00
I terns
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY .B. Services'or Feeders
/.7_ Installation, Alterations
Electrical Contractor/~L/~ Ji~,~~~~ Relocation:
Address..Lf,,~O ~ t"WP/lkllr 6'-~ 200 amps or less
.- , 201 amps to 400 amps
CityRP~''''-~ Phone"3,,-'-?069'" 401 amps to. 600 amps
. 601 amps to 1000 amps
Supervisor License Number 3l i? ~- Over 1000 amps/vol ts
Reconnect Only
Expiration Date-./l:)-~
Constr Contr. Number-L01'J96. /
Expiration Date /.. - 0 0
~re
a:rs Name 1=~7~ L~~
Address0J.;A5 ( ;j t1..ULY.R n21 t?
Cit~ Phone 3LVs-Sx'20
OYNER INSTALLATION
The installation is being made on
property I OWP. which is not intended
for sale, lease or rent.
Ovners Signature:
~~TE~~~-ZJ-:-~C(---------------------
RECEIPT #: ()..::I '50 ',5( I
RECEIVED BY: 17, m/J ('f1a d (J
$ 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 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circui ts
.'
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included
/
$ 40.00
$ 40.00
$ 20.00
$ 36.00
, :2,,(), () ()
g.~. t?C)
5.
SUBTOTAL OF ABOVE
5r, State Surcharge
3i.~Administrative Fee
TOTAL
....-
~/. I. ()
----