HomeMy WebLinkAboutPermit Electrical 1999-7-27 (2)
. . 5 submitted has tne tallowin9
The following project ~ equire specific land use .
zoning. and does no r
approval. lD V2-
Zoning , _ 1
7-<r-"7-~
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225 FIFTH STREET
SPRINGFIELD, OREGON 9749~e .
INSPECTION REQUEST: 72~"iloe~d Signalure
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
31CJdi DUIl.C ~T. .:>PFLD, o-fL
4ff4Y,~CRIPTION
Lk./J..'1!-.' ;. 4,)", E' /) l.1J.r.l___ WORK
THISPt;. ,VIII "rlAu. ,~"....- -
J~rJ~~BERTHISP,ERMITISNOT
~~[~^~ANnONf-DFOR
Permi~~~~~~erable and expire
if work is not started within l80.days
of issQance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
~ress
Cit~
/'
/
Phone
Supervi.sor
Expi ra t ion
Constr
on Date
Supervising Electri~
Ollners Name )2)::Ji'nbi
f;, ++drn~"'"
Address 3"70;;2, DL<-I<..e.. st.
Ci ty...5.p, I n jh '",1 d Phone 7 ,-/(p -/34 I
OVNER INSTALLATION
The installation is being made on '
property I olin IIhich is not intended
for'sale, lease or rent.
Owners Signature:
~.t,~
~~~~~~~~3:~~--~--------------
RECEIVED BY: I I, rYla e.JvLr:t <.J
~:.ECTRICAL PERMIT APPLICATION
City Job Number qO; / 0/7
3. COMPLETE FEE SCHEDULE BELO\I
A.
Nell Residential-Single or
Mul t i-9a.m'd.rJy l'pel.':\dllel!1!irl'" rufl~~~s you. ~o
Serv i ctol!rnctlU'ded~opted by /he Oregon Utility
Notification Center. Tt(q:emsu1es ~8Sljlt forth Sum
,in OAR 952-001-0010 through OAR 952-001-
1000 ~1I9~Wo9Pld,e$stain copies 1$ tM JglJls by
Each ad<tM!i.,wU!~~~a9lr. (Note:.thetel~~ho~e
sq. f nl fMb~q!iltllRlQregori Utility Notification
thereof C"ntpr is 1_8f1f1_::l32_2$4-11i. 00
Each Manuf'd Home,or
Modular. 'Dllelling
Servic~ or Feeder .$ 40.00
.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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 10qO volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
Nell, Alteration or Extension Per Panel
One Circuit .,
Each Additional
Circuit or vith Service
or Feeder Permit
35.cru
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation .
. Sign/Outline Lighting
, ." Limi ted Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
1~State Surcharge
37. Administrative Fee
TOTAL
$
$
- $
$
. 0"'5, t:Y
d-4S _
/'0 S
:"">.8' .:su
40.00
40.00
20.00
36.00