HomeMy WebLinkAboutPermit Electrical 1999-1-12
;~~i~~~Oa~~gcio~~e~~~~:qu~mitted h,a,s the fol/owlng
approval. U1re specific land use
Zoning ye...
225 FIFTH STREET Date - 1- /cJ - q 7'
SPRINGFIELD, OREGON 9740.UtlO(Z td S' <>V'. )
INSPECTION REQUEST: 726-37~Y Ignature l'--V\.
OFFICE: 726-3759
1. LOCATION OF I.!iSTALLATION
'iIIJLf Fu p( J'171,4'
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LEGAL DESCRIPTION
1.'iI ()? 6 5 ). 2
,
t) 7'10>>
JOB DESCRIPTION
111M IJ L.lc t.;"
,
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
I
2. CONTRACTOR INSTALLATION ~Y
Electrical Contractor ;f
/
Address
City
~ne
/ -
Licens~umber
Da t e,/
Supervisor
Expiration
Signature of Supervising Electrician
Ovners NameVOn < Oa \I i S
Address ?O, Mx' 733
Ci ty 5pf2( J-->-q ~ 'e-ec( Phone 9'S3 - S 707
I I
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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RECEIVED BY: I '--h 'fin i!i - --
, ,
ELECTRICAL PERMIT APPLICATION
qty Job Number Q?)rz.1
3.
COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
NOTICE'
1000r~g.ft. 'or less $ 85.00
Eacn I ~J:dR:t:f-tMJifcSHAtq..oEXP/A
sq AG'fft1C~Z~~1..WBg E IF THE WOAK
E thetJ.M~9nJF.r.)'i'fiDt1Ar;;,d.': THIS PEAMI~ I~~BP
aChantl I\!.Iu U~l''>\.) l1BANDO
Moil~til[~t.n P~E?lJ#~g) NED FOA
Service or Feed'eP . $ 40.00
D.
Branch Circuits
B. Services or Feeders
Installation, Alterations
or Relocation:
~OTEaJiti~-tOi'a.I{J~~S~ $ 50.00
N ~~~ aao ~e Jflif{~e~yO ~O. 00
. Q/OlJ;aaIDR:teffie ~e barntfle ~ Ut p;0. 00
In ~ [g' t91n\cr~S~les 1~0. 00
OOa~.eYoJ 1 m~;tl)lIikJgh OJ!.~9 set .00
~Mg\1nf WilY'l Copies ot-tl.. 9~2. 04-0. 00
nUmber for center. (Note: the t ..3 I u/es by
C. Temp~ato/: SlIegOnvtiltiV: l'~~l:l@Ift@
Ins tar~!r-( i~n-a06lj.:ji;[.~3~~~f'Wi~10ca t i on
200 amps"oT less / $ 40.00 L( U
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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