HomeMy WebLinkAboutPermit Electrical 1999-6-11
The, fallowing project es submitted has the tollowlng
zoning, and does not require specific land Use
approval.
Zoning J..DIZ...
SPRINGFIELD, OREGOND2,~477 &-11-'7"
INSPECTION REQUEST: ILb-,j/b" '\
OFFICE: 726-3759 Authorized Signature 9}.vJ
3.
225 FIFTH STREET
1. LOCATIQ.N OF INSTALLATION
I"fJ ~ ./)EIAs::.,<.r, AUt;
LEGAL DESCRIPTIO~
1763 2-q:? { 0) '-(of)
City Job Number
ELECTRICAL PERMIT APPLICATION
COHP1~I~ FEE SCHEDULE BELOV
9907"1,1)-
A. New Residential-Single or
Mul t i-Family per dwelling uni t.
Service Included:
JOB DESCRIPTION
lfJsTAI"",rc'''AI c ~ Al~
N 1/ A C,
City
Owners Name a tZ 1/
10)/#
M/tdu
Address /7"3 c..
City Sf) 1/
Phone
,
OVNER INSTALLATION
The installation is being made 011
property I own which is not intended
for sale, lease or rent.
~s Signature:
~L..x,~ uJ. LJ~
-----;/fi{i-- ------------------------------
DATE: 1." 'f'9. .
RECEIPT:, !.' P5'=!<I/J1f
RECEIVED BY: U W,.J
Items Cost
D.
Branch Circuits
1000 sq.ft. or less
Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started w~~l1~~ days Each Manuf'd Home or
of issuance or if work i!;.~USI!Rij\T'St-W:LEXPIREI~WGR15\lelling
180 days. THISPt THISPE~mi5filmt Feeder
fml:!ORIZED UNDER
2. CONTRACTOR INSTALLAT-e>8MftEDORISABB.lND~QfOO or Feeders
.".",c-RIOD Installation, Alterations
Electrical Contractor ANY1BOD~t:'.' or Relocation:
Address / 200 amps or less
~ 201 amps to 400 amps
Phone 401 amps to 600 amps
~ 601 amps to'lOOO,amps
Supervisor Li ce~e Number ATTENTION:Or'O,ver,'1000'aiJips/vol ts
/ follow rules adoPRlfcCiilhec':tI"Orl'lyJliIllV
Expi ra t ion Da-te Notification Center. Those ru!e~ <<,8 J~I ,ort',
/ in OAR 9~2-0gl-0~'Iiempor'!.rYJSe'ivfcesj or Feeders
Cons t r Contr. Number norln You may ob!l!);Hail>il:at:i!on~ rll'l't<fr:a tion or Reloca tion
, / calling the center, (Nole: 1M leleptloile
;zPlr tlon Da te -"~h~lfortheo?.9.QJI'l-IJ)P.l!i~q'l'oi4EtSSIOO
, ~ Center is 62.Q,'b(p.!!1P~'2~q4 {tOO amps
Si ature of Supervising Electrician ver 401 to 600 amps
Over 600 amps or 100U volts
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ lO.OO
$ 40.00
$ 55.00
$ 80.00
see "B"
above
.'
New, Alteration or Extension PeT. Panel
3S'"
$ 35.00
One Circuit
Each Additional
Circuit or \lith Service
or Feeder Permi t 2-
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
/
$
Lf
,:.00
nc,t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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