HomeMy WebLinkAboutPermit Electrical 1999-4-9 (2)
fhe loliowmg project as submitted has the following
'zoning, and does not require specific land use
approval. L.. \:) r<--
Zoning
Date 4 - q - q"
225 FIFTH S~!1'!:oriz~d ~.i,<lNluro crtJ
SPRINGFIELD, OREGON~~~ ,
INSPECTION REQUESTC 726-3769~
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
(OC(QL{ '1='(").....'I~\-\1 a
,
) t !f:f' !!}:J_~~ON 05600
,
~B DESCRIPTION
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;
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
~
~
/
/
City
~e
Supervisor
Expiration
/
/
Cons~~Contr, Number
Exp-r~ation Date
~
"'-
Signature of Supervising Electrician
/' D.
Ovners Name uzler, -(r Hr,..,.\\"'c. (,,,,,~.J'e( (
Address /7 S 49 fJ, S~n-.J-
City. ':)or';'-;?/-''c P Phone 7l/tG-?8 €I> S
01lNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
21~ /4.~~,c/
:~~~~~~~3~~=~-------------
RECEIVED BY: (1 . ('{\U.I Jr~
ELECTRICAL PERMI~PLICATION
Ci ty Job Number ~ 6l 0 ~ 74
COMPLETE FEE SCHEDULE BELOY
3.
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dvelling
Service or Feeder
,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
Items Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installati~n, Alteration or Relocation ~
200 amps' 'OT less $ 40.00 U6.
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
"
Ne~, Alteration or Extension Per Panel
one{Circuit $ 35.00,
Each Additional
Circuit or vith Service
or FeederPermi t $ 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
$
$
$
$ 36.00
OD-
dO,
j . CJl:)
r.~
"-t' -:,. ..-1'0
40.00
40.00
20.00