HomeMy WebLinkAboutPermit Electrical 1999-9-20 (2)
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The following proiect as submitted has the following
zonIng ana aoes not require specific land use
approval L 0 0
225 FIFTH STREET omn 1'\
SPRINGFIEI..D, OREGON 97477 g q - ,;10 ~ 9
INSPECTION REQUESTPate7~1tt9-
OFFICE: 726-3759 ,,"ruonzeo Signature (_~
U 3. COHPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION I " ,U ,'J1"~~'I"" yOL' (<.
/o..~.:l. /)' -l. '"" ()r ' A. New"RE!si'd'ential-Single or Ut IY
, I ' '" '-\.()O tM\Yil'ti~F<imrlii)?' 'P.'egv ciweliJ'ngn unJ:'t'1
~~-=TPTION/.r(1) 05;)'/0 I. \lrs~'fyi'8e 'In~:iuci~dlr' 'q,,~ ,"--:>~..,.I. I
~.-~ _ 0=1'_':""-" in O."H \lo~-Ol" -"l"t, WOUC' OAR :-;52-001-
_ ~~_^'I EVDII'lI=II= 1Hl!!:VV\9l>1W ~ , 'Items I Cost
In''''' c:ro.m-;:> . <U- ' OORO YOll ma\' obtai, cople~ U1111'- ru as uy
JO~NDERTHIS PERMIT IS NOT l!0001rsq'l.€fi:3.ntor \iess.'hE: tZI€,~ho$e85. 00
.~~n('\~ IS ABANDONED FOR 'Ea-cli'eilaal:t:illnal:J50011i1y I' v,""cat,on
sq. ft>'or ip6i(fon~;" '::44),
Fermi ts\I'a'tG!8I?l~h>Y?ffllffi'rable and expire thereof $ 15.66
if work is not started within 180 days Each Hanuf'd Home, or
of issuance OL" if work is suspended for Hodular. 'Dwelling
180 days. .::#' 9'1-'1 b1 Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Ti5 ~/N+r';r:Jr",c,
/I -th ~ I <K'"
Address ~/)t, C; I, /
Ci ty ?,' J Phone (,., ~ 7 r:; 77"L)
Supervisor License Number ~~ 7-::J. C,
Expiration Date 1~~1
Constr ContI:. Number I ()t.{qA.-Cf
EXPiralj Date ~~<-j~~ ,.
Signatu~t~iict:an
\
Owners N'ue !r-.....//1 h ....~ '.' ~ ~';-,
Address {" ""'., 100.J-. rlJ;'JL //; Dz..
Ci ty M/7 . Phone.lJ::.c..,.; 174'0
-0./''';::' ~
OIINER INSTALLATION
The installation is being made on E.'
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-~~~~-7'?~'7~---------------
RECEIPT #: () ~;5{da(p
RECEIVED BY: n, /)'1t1 f'1111/( (/
'ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q q J)3 7
.B.
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
Sum
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
.
C_
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
Ne~, Alteration or Extension Per Panel
One ~Circui t
Each Additional
Circuit or with Service
or'., Feeder Permi t ..i.. $
I
His6ellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
~% State Surcharge
3% Administrative Fee
TOTAL
L
$ 35.00 ~ r; -
2.00
L
not included)
$
$
$
$
-
-=37 }-'t;!
"} ::-:--
,0---
~O~
40.00
40.00
20.00
36.00