HomeMy WebLinkAboutPermit Electrical 1999-12-27
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The following .project as submitted has the following
zoning, and does not require specific land use
approval,; (Z-
225 FIFTH STREET Zoning LD iJ....eCTRICAL PERHITAPPLICATION
SPRINGFIELD,OREGON 974l1ate (1...-;L 7-CjC,.
INSPECTION'REQUEST,: 726-3769 . ~ Ci~Y J~bN~.ber ~., q.'.'~,719J
OFFICE: 726-3759 Authorized Signature /1 I
3. COMPLETE FEE SCHEDULE BELOV
A.' . New Residential~Single or
Multi-Family per dwelling unit.
Service Included:
1. LOCATION OF ItiSJAL4-T~ON,
..2 "7 q'l L/:lltltJ IJ..v
LEGAL~DESCRIPTION 'I
) 70,.; 2. ~ J 3 'co 2CT7::>
JOB DESCRIg1'ION /) '/'" p
C~J'" J;/e.c,j-v/C- rlH1c:" ;Jar:
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work i~ suspended for
180 days.
Expiration Date
Constr Contr. Number' :to -rY~C
Expiration Date
It) '-(,1-' -Cl c)
J Sign:,~~r",e of su,~erViSing,Ele"ctriCian
S~,.r.{~A^ ~ l~~ (v-eJ
r" ',:j I
Owner,s Name Co-/'c1 ,/::;;'/v,6c?;:,.vJ1 .
Address. " ~L1;1' ,(}!,pel
City ~r./W77' .()(/J Phone2Y6-J7/:P
, .
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------------~-----~----r--,----------
DATE: /2-/29 )')
RECEIPT #: . ( ,., ,
RECEIVED BY: . .n///~.......-:I
?(' //~ "1
'Items' Cost
'Sum
,/
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular Dwelling
Ser~ice or FeederS 40.00
L---
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
5{)~ 6-C
2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders
,,/ If L.-J ,1- Installation, 'Alterations
Elee tri eal ~on t,~~e t oc J: '" 1~ Zt~cI ~'(:. oc Reloea rion: ..
Address .J ,)..) 'kJ"-'Y-,- C"'(A-C_/a . , 200 amps or les~:
.r / '. .' 201 amps to 400 amps
Ci ty ~~"^-...( Phone p';~ <:.-V' ..;>11. f:/ts1t'" 401 amps to 600 amps
/ ' I . 601 amps to 1000 ,amps
Supervisor License Number ~~~-f~ fjtZ:S Over 1000 amps/volts
. _ 37&e1) , Reconnec t Only
1iJ--=tfL{---r2-6L I oo.~
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res'
Limited'Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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