Loading...
HomeMy WebLinkAboutPermit Electrical 1999-9-13 (2) r - 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 //18'> I- I. LOCATION OF INSTALLATION' / ") '7'0 "?/OrJ S r,. <<Z- . A. . Address ;;Z 0'1 J ~ 'If orJ Ci ty ~ lA.'1tf",--. t'J,;(.. Phone'll) J' r2 (7~9 . , Supervisor License Number Ib2lAcfiJ Expiration Date /0/01/ 2uz:rD '/ C_ Cons t r Con t r. Number ,.)" I!{ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT II: RECEIVED BY: Q- '~-'19 ~~ ELECTRICAL PERMIT APPLICATION , Ci ty Job Number~ COMPLETE FEE SCHEDULE BELOV 3. New Residential-Single or Multi-Family per dwelling unit. Service Included: 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 I terns Sum LEGAL DESCRIPTION ..il:.t?~. 1...7. ()(J. ~ . , ,. ,.1 ',re" I/Q..to JOB DESCRIPTION 1-\[' .:.1>11',-" d' (\T~" bv '.rOOO,'sq. ft. or less Srla:::- followfules.a C'.~ ," Each additioriiil 500 "'ot\1lCal"'"""" I, sq. ft or-',portion Permi t are non-transferable(and~exP"frei1J':r,~,thereof ,L_ V if work is not started wi thJ'!111180lldilys' o\Jta:fl;;' Each Ma..n_uf,~ d Home, or of issuance or if work is susp!iiidgdh(f6i)nte'~ ~'. 0 . ,1;I?~I1~~,rit(R.If.~lling 180 days. number for the; 0.", ,J$erVlC!! or Feeder CP~'" " ,:.3~' . 2_ CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders 1'1 r' Installation, Alterations Electrical Contractor $.4 /1''''' ,{,o'/II .)170'15 T,.c.or Relocation: Cost $ 85.00 $ 15.00 . $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $ 80.00 volts see "B" above " Per Panel 35.00 $ 2.00 Expiration Date :J./'l/::Zool 200 amps' 'or less NOTIC~ 201 amps to 400 amps Signatur~e of Supervising Electric~ &;;: Over 401 to 600 amps J L? . ~ ISPl:RMITS/-lover 600 amps or 1000 '_ _ r ...1"d~ /.U~ AU:i:JGAIZP" ~LLl:XPIR1=Ir:TtJ~' - COMM '-ulliN1}8ffl!nCt'tcunWORK Owners Name U !JS.l. /, l:NCl:DORJ~ /10 SPl:RMIT/SMn-.. . IVY 180DAYP ~AA~wn''Ot' Extension Address /940 ~n tSf. ~ Uf> l:RIOD. UR , One Circui t $ Ci ty ~"';^1"....,tt Phone "fCJ- '2..32.0 Each Addi tional ~ Circuit or with Service OVNER INSTALLATION or Feeder Permit E_ Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting--1-- $ 40.00 ~-- Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE $40. - 7% State Surcharge ~ ~.~ 3% Administrative Fee -- I.~ TOTAL .:t>~4. ~ ,. ..!\'(."~~, ~...:; 't" ~ -J .,-:--.:::."~"~.;.~ . -. ,.n.- .. :.. r.j .;-,'\., . ..... L.."'~". .... ... .4,'.' \;i\" \ . ...->-,:". _", '\"E..j ..S'.)...., ._. ".' .1',' ~ :I .l'" ;..,.,1 ..,..,' . '. ....~.. ,,~ <_~ ,/" .'oj;-. 'X' " '\\'~" jf~' .. '{JiJ ~~" . (J",)I;~~ . , : ' " ..,. +~I. '.i..J.~. -. . . . ,.. , _.,1- -::r' ':'.\-(~Q.. "..' , ..,. 1.('...11....") . .., -'" ;') - ~, . ." ... \ ""'1, ..: \ ".\ ~ .." .~. '~~\l >!\ .....~... ...;.:. .....\ \.;..p -t~ :~'~J . . j ...... I to" t':'\.i . . .1 f' .' '.~ I 1'.,1 ..:"'-: .... I!". . .