HomeMy WebLinkAboutPermit Electrical 1999-1-29
'he fOlloWing P~ol
-'.:(Hllfly an' Gcr as submitted h
"pprooa, C aoo& not require spa af.s the fOl/owlng
CI Ie 'and use
Zoning _ J.... D rz-
225 FIFTH STREET r,
SPRINGFIELD, OREGON 974'1] I -"'-'1_ ~ -
INSPECTION REQUEST: 72-6"'3'1&9 S,gnalu,
OFFICE: 726-3759 e - .
3. COHt'LI'.rL FEE SCHEDULE BELOII
ELECTRICAL PERMIT APPLICATION
~ ty Job Number Ci'T-1 :? \ ~
1. LOCATION OF INSTALLATION
//~R :/).pI!?oSe. Dr. . A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
I / ~J~CRIsr!rO Cj 'CUD
ATT3NTION:o~e Oil ~aW reqUires yvu. ~u
ffi1e.1?~~~ ~9the Oregon U.. t,i1ly
Q~1P ,_~~h . ~e set forth
.' '''~_\ - 2-001-001 0 through OAR 9!:><!-UU ,-
HpQM~~ a!i~ olbl?!\i\~J@,,"~bileJl'lI11l1Yexpire
Cfflu".yft(ifu~ nr\\~~ fjW~:~!\e'!'r!I~~ilDnil:80 days
~:~WSU W'l~: ~r~htn'{%ifiy Not1!~sliended for
~center is 1_800-332-2344).
2. CONTRACTOR INSTALLATION ONLY .B.
Sum
Items Cos t
fss'~
!\10o-nl'~""" ~
1000"sq..,ft. or less I $ 85.00
E'\~hsaf' 4?i ~:~oJ1~tt?@R?IRE IF THE WORK
sq. t or pornon .' ~,
t'lieTrE!ofi/,-rJ UNDER THIS ~~MIT '$' tl15TOO
E~~,I)".,M'1-nuf'd -Hfl~e'.I9,r;;\IDONED FOR
Moaular'Dwelling
. -0' .
Service or Feeder .$ 40.00
3c>~
Services or Feeders
Installation, Alterations
or Relocation:
Electrical Contractorfhtoll';J7Z!>.Ai ECEel~.
Address ;P. 6>. ,q 6Y ~'" (J <I
City ~c-- Phone" 9<;3 -00.,),7
u
Supervi.sor License Number .-:SeD) 7 S
Expiration Date (CP- /- 9'7
Constr Contr. Number //&<;.).'1
Expiration Date /(J! - ) - ? 9
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
C. Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
. Signature of Supervisin~ Electrician
~A-/~rv~. )
Owners Name C ho...h luJ Vf)0'_C--0
'1 olo-.v0-~
Phone 7L.J 7 - ;)''7()u
Branch Circuits
D.
"
New, Alteration or Extension Per Panel
Address 3c.t)..q
City~a--
,
O\INER INSTALLATION
$ 35.00
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE / ) C), /S7)
5% S ta te Surcharge ::,. 7S
3% Administrative Fee ?,~~
TOTAL I .J ~. At '1
,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~--l~-)~~-~--q-~------------------
RECEIPT 11:
RECEIVED BY: 'f'o^ /1.1 L t<....-.l G
r.