HomeMy WebLinkAboutPermit Electrical 1999-7-15
The following project as submitlad has the following ~~,
225 FIFTH STREET zoning, and does nof requlra spaclflc land usa ELECTRICAL PERMIT APPLICATION
SPRINGFIELD. OREGON 9~9'1'1 I r")l1... &\0 -? U
INSPECTION REQUEST: 726-3~~9-~,J r City Job Number 77'0 t:.--7 Z.
OFFICE: 726-3759 Date 7 - I:J -"? <;
. i nature _tJ<t!! 3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTIWl'JATT\'1rfi g /\, ,-.. "v";urelivll :u,. '''\lUlk', ", .
1't19 De/rose Ct fOllowrUleSMOPtOOib:P.-~al' MfiS'ingle or
Notllicatlon centel!1v~tS,~;;fa;m~~f;' 'dwell ing unit.
LEGAL DESCRIPT):ON in OAR 952-001-0o'i6'fIlMtQh\9.4 ~~,
{7/)3 '2.> 44 IOt(Q)C9(1,..~oumaYObtainCoPieSOftherUleSb' Items Cost Sl
JOB DESCRIPTION cal"ngthecentei-dSl5>t~J~~tt!Je8~o~@ss $ 85 00
Alarm SI/stem Int"''''1I numberforthe, orE1~~~ t~taa:t ~1i&qti\SOO .
~ Center IS 1- -3f-"t ')?AA) t'
. . '\I:" -por 10n
Permits are non-transferable and expire thereof $ 15.00
if work is not started within 180 days Each Hanuf'd Home. or
of issuance or if work is suspended for Modu1ar'Dwelling
180 days. . Service or Feeder . $ 40.00
2. CONTRACTOR INSTALLaTION.O~l B. Services or Feeders
:;)ecunty Plus Alarm Installation, Alterations
Electrical Contractor And Protection.. or Relocation:
. --rvor'CE.
Address P.O.Box 26413 7'l-fISR~ 200 amps or less
.fl,.... c:RMPfR'K,,,!p!i to 400 amps
Ci ty EUQene Phone 687-6474 '-'<l/HORIZE{..M'~X~~OO amps
\,;OMM6 'ffc!JJf.v~Illj-"to i6aDil?V!lN-
Supervisor License Number 3012 JL~1 NCEID~1 OOcil~/i1MffPl;''''f\
20 417CCE' 800A.'y"~50 ~rv~~60 SNO.,-
Expiration Date 10-01-99 "'00. FOR
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number125673
Expiration Date10-1~98
Signature of Supervising Electrician
,A.A tr~ J
. /
Owners Name Character Homes
Address 835 Sand AI/e.
Ci ty Euaene Phone 354-9395
OI/NER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
,;
:~~~~7~;-TrS~-:~~~------/;,-~7l
RECEIVED BY: (J/ V h/
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or lOOu volts
D.
Branch Circui ts
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B"
abov.
.'
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 includ,
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res 1 $ 20.00 20G
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
20.00
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