HomeMy WebLinkAboutPermit Electrical 1999-8-4 (2)
The following project es SUbmitted hes the following
zoning, and does not require specific land use .
approval. rl-
Zoning LD
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<::j<M)
225 FIFTH STREET
SPRINGFIELD, OREGON 971t1t
INSPECTION REQUEST: 7~wgM Signature
OFFICE: 726-3759
1. IBCATION OF INSTALLATION
2-,(,0 OVIJ"A5
LEGAL DESCRIPTION
17613-''1'1 00 /I(
Constr Contr. Number q~q,~'3
Expiration Date C) -1t::t
, 1a-= o~p;1Jctrician
Ollners Name If/~ r~r:-
Address t'l(,O 0&1111;4-)
City ~ 0 tt cI Phone 7 if (,- J J (, j
OlINER INSTALLATION
The installation is being made on '
property I ovn vhich is not intended
for'sale, lease or rent.
Ollners Signature:
----L---:t-f-----------------~--------~
DATE: fj,lfr1f' 1
RECEIPT II: ' III ~'f / 1/ /
RECEIVED BY: ~ 1.Jd./
ELECTRICAL PERMIT APPLICATION
~ity Job Number eN/o5/
3. COMPLETE FEE SCHEDULE BELOII
Sum
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
.F() ~
NOTICEt... Nev Residential-Single or
THIS PERMITS~Atl~~&oWKlling uni t.
AUTHORIZEDUNDERTHISPERMITISNOT Items Cost
COMMENCEDOR~ABANDONEDMnR
"rOB DESCRIPTl;GN ANY 180DAYPE,l, sq. ~l: ot"'1.ess S 85.00
~A."''''' C/l-p l:! . addltlonal 500
, sq. f t or portion
Permits are non-transferable and expire thereof
if york is not started vithin 180,days Each Manuf'd' Home,or
of issllance or if york is suspended for Modular."Dvelling
180 days. Service or 'Feeder,
ATI~I\IIIUI~:U,"'yv/l.dW requllaS you 10
2. CONTRACTOR INSTALLATION ONLY follownIlPosaS€i1V-i~~stlboroPmlN~lity
Notifipation Cernsta])l!a't i'<ifil BAq fgl.-lft1bns
Electrical ContractorC&A-> IJ~I F~0001f)~ail!oca-t')fciri.P..R952-o01-
, j 1090. You may obtain copies of the rules by
Address..!t2.J;:} j: 2) x #0// p w ;t calling the ae,fuial!lpstEoihE'ltelflphone I
..r;l.q7t10 5 ,l)u...lTIhilrfort~r@!\lP:SUtllily40.QifiuuPSln
Cityj='va>'AI}'-c ()fC Phone ~)l?-"'O?Lj /Z Cen,d!Q,J.1a:tI1P.S3~92~.0~.amps
d ' 601 amps to 1000 amps
Supervisor License Number .:g57??S Over 1000 amps/volts
, Reconnect Only
Expiration Date /0 -01
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 voLts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
"
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not include~)
-Each installation
Pump or irrigation '
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
'l'bState Surcharge
37. Administrative Fee
TOTAL
$ 35.00
$ 2.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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