HomeMy WebLinkAboutPermit Electrical 1999-4-12
Thf following project es ~e\l:!1~ l\le;lbllowi
7>:..nlOg and does not require sp'fcllic1a~d use
a~proval
Zoning /....i C vL- '
4-1~-, C.
~
.B. Services or Feeders
InstaAhtion, Alterations
J:..J.L:>k.....l E/dlor R~R{Jtr.Jir'l>8iv.o
NOlif; rIJ1e9;' re90n I
201PJ~~~ti<<lrf ~tedb aWreou; $ 50.00
2% <9% {J/})raV'fJ~~ me ()~ rl$S 16lJ~0
401c II] SIJFfl.PiJf:JfKJ1t!JW..'f.f!.I'IJI"E '{}~QJf;'i 0
6% WMrpgltflJ1.CJ'fifaitf~~ ar~ 6 0
Ovel{lllolqril.~~?~~/eSQf A~ 60
Reconn~ ~~re' Ole: ~le .~IIJ~ ~bo
ler i~ l-B~~n..lJtili~ fIJ^.~!,hone by
C. Temporar'y SeFvlc'eSJ~2 l!'e':lIfi1j8!,
Installation, Alteratl ~~r Rk~cation
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
974770010
726-~,I~12nzeo Signature
1. LOCATION OF INSTALLATION
q'2,., gL J...o ...-,.L::,~ -Y'\'fJh~f.;f
/~~7f)O/{)O
JOB DESCRIPTION
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor~r.r~e~r
Address ~51 '$&11. r U'::l...... L
CitY~;",,~qiL Phone 7Zk>-t..02..2
. Ii.
Supervisor License Number / b 77...<;
.
Expirat~on Date /(J-O/-ol
Constr Contr. Number
/1/,)/'/3
Expiration Date O'-G'-Ol
Signature of Supervising Electrician
~,IA./A/.rf $~
Oyners Nam~ -/le~-4J .s.;ta:d-
Add.ress~....c-"~ ~
Ci ty.5.f)~ dLphone
~ ~TALLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE~--~--~~T-~;?~C1'~-----------
RECEr'PT I: ' I elf 1 ~/f~ (fJ' ':l---
RECEIVED BY: '-'; e.l_ __
ELECTRICAL PERMIT APPLICATION
City Job Number 1q ()Crt D
3. COMPLETE FEE SCHEDULE BELOII
. A.
Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dyelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
200 amps"or less
201 amps to 400. amps
Over 401 to 600 amps
Over 600' amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch' Ci rcui ts
.'
Ney, Alteration or Extension Per Panel
One Circuit I $ 35.00. 35~
Each Additional
Circuit or yith Service
or Feeder Permit $ 2.00
E. .Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
?'.~ po
I. 7'
i _ o$"
~'1 Rn
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL