HomeMy WebLinkAboutPermit Electrical 1999-9-16
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ttPRINGFIELD
'~y. ~" EXP.lREIFTHEWORK
tullOV\' rule~ ..om'- 'G i}v l"l~ .",," DU ERTHISPER
The fol!o,~\ng p'[~jep!,!!~ submille~_h.as the !ollowlng , ' M1T IS NOT
zoni,r:9ral ~~' '4'~.~.~RL'e,9P,i~e s~~?~li'1> land,~~e _,. _ . COMMENCED OR IS ABANDONED FOR
approva' .' ''C\ ,r) ANY 18
.:JOel,' Vl'\1 TIel' 'l!:&\':.I,~..; ,"" I" o DAY PERIOD,
225 FIITH STREET "51~~~~g':IFO"P\ 1"(";>' 'r; , 1~'o"E~CTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON ~lt't,Tr " -\~. ~\o- '1,....., ,.', ' '~
INSPECTION REQUEST: An6~37~9' "" ".. ~ ,~::". ..v;",v.18ity Job Number Cf r; tJ s?-
OFFICE: 726-3759 uifionzed Ignature .,
3_ COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION .
/ :2 9 4 ;J E-~ /f'IHc:
, A.
LEGAL DESCRIPTI~
-L7t!J.3 2. 1 &
aue-v
, .,JOB DESCRIPTION (\
1/ J4- r ///1/"""" rY 'e., (} rc: "<'-7
Permits are non-transferable and expire
if work is riot started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contractor(?~"'r.-~~J.t~ ~II~/)V~C
Address {tJ, .JIo-p>~l'L' '
Ci ty (!/t{5'> CtteL--L- Phone fCf ~Z i?~'--
Supervisor License Number
Expiration Date ~-
Constr Contr. Number Ob~/9f/o
Expira t ion Da te 1; - Ztlo j
SignA?:; ,':1X~::""id~
Owners Name k""1 ~.JJ<c/
,
Address -3./2.5 M /../.A-V/'7t }7./~ M,
City 6uc. Phone .?~v,S-Ji.2.0
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------------~---------------------
DATE: 7 -1ft, -:.(;5_
RECEIPT #: I/ji~~
RECEIVED BY: "t(il'
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni to
It ems Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder $ 40.00
Sum
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400, amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts ~ee "B" above
D.
Branch Circuits
"
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
not included)
i./"
$ 40.00
$ 40.00
'$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
--.24.;'"
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