HomeMy WebLinkAboutPermit Electrical 1999-3-11
Tha following project as SUb.mlttap~~~~ tr:n~I~~~ing
loning. and does not require s
approval, J..D (L
225 FIFTH STREET Zoning
SPRINGFIELD, OREGON 97477 ?'I\~'1\
INSPECTION REQUE3\'!e i LU-,:>f b~ ~
OFFICE: 726-3759Aulhorized Signalura
1.} L9CATIQN _OF INSTALLA);ION
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LEGAL DESCRIPTION
/'71J::S ~~ 4'-/ /O!CfD
JOB DESCRIPTION D
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
City Job Number
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
~({ Ir'1?-
Items
uni t.
Cost Sum
$ 85.00
$ 15.00
,$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
/) r; Ff" Installation, Alterations
Electrical Contractor L"if("#/J(,f/4 fi'tf,t/t/7,NJ or Relocation:
D ,"7 'pllc,tWhr>
Address f, j, J.?Cp ~ 1>"/6" ,200 amps or less
ci ty {!,;(E"'!:'(()~t?- Phone 9' ~52-'?P7-- ~g~ ::~~ ~~ ~gg ::~~
601 amps to 1000 amps
Supervisor License Number Over 1000 amps/volts
Reconnect Only
Expiration Date
Constr Contr. Number tJtt4'<~""TtJ
Expiration Date 1/ -/r,?' - 9 9'
Signatur~ Supervis~ ;lectridan
A5cAw~~ .
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Owners Name /, ff If I ;Z. h,< sy r// F
, '.
Address c3/J..5 W ~'~..Lt ../
Ci t.J1...~ Phone<3tf5 ~ 5t)tJ
U
OYNER INSTALLATION
The installation is being made on
property I owp. which is not intended
for sale, lease or rent.
Owners Signature:
~~~~;7~--~~----------------------
RECEIPT #: O~,2,/ a-u ,
RECEIVED rjy: / J ' f n ck!n &it 0
$ 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "BtT a~
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included
-Each installation
Fump or irrigation S 40.00
Sign/Outline Lighting .....s- 40.00
Limited Energy/Res ~ $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~ (ef'?
5% State Surcharge 7 . ~
3% Administrative Fee . (~
TOTAL ~I .. {" CJ