HomeMy WebLinkAboutPermit Electrical 1999-10-25
01) Vi-' '1
~C '1 .
IV~
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
-41<=;0 F"..~ ~F"I
LEGAL DESCRIPTION
I&, ()7, en 1/ 0 J 5" r"J'5)
JOB DESCRIPTION
/?~.!/t"E ~~/ /Uf/d.l(J $, (I
.,
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days.
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ARC ELECTRIC INC
Address .QC:;7Q~ Gl.rv 00 C:()TI'T'U
C i t y ...El1Gllil F.
Phone --2fLl-n4g4
Supervisor License Number 4079S
Expiration Date 10/1/01
Constr Contr. Number 2Q-4n,C
Expiration Date 1n/m /nn
Si~ Zf7~ftectrician
. t-
net.s Name ~~ (), c::
Address --:v. o. Pao+ Ik L.
,
Ci ty 5ft ~ Phone
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale. lease or rent.
Owners Signature:
~~~~~-------It;~~~~-~-------------
RECEIPT~: - '7c, "J'/' /
RECEIVED BY: - ///':2:7'A/J_
"'rvr'. .
City Job Number
ELECTRICAL PERMIT APPLICATION
3. COMPLETE FEE SCHEDULE BELOV
A. Ne~ Residential-Single or
Hulti-Family per d~elling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Hodular.D~elling
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
C.
c:P '/ Iffi') IJ
It ems
uni t.
Cost Sum
$ 85.00
$ 15.00
. $ 40.00 ro.--
S 50.00
S 60.00
$100.00
$130.00
$300.00
S 40.00
Temporary Services or Feeders
Installation, Alteration or. Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see lIBlI above
Ne~, Alteration or Extension Per Panel
One \Circui t
Each Additional
Circuit or ~ith Servi~
or Feeder Permi t ~
E.
Miscellaneous (Service/feeder
-Each installation
Pump oi irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
~% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00 1".-
no t included)
$
$
S
S
. -ltf</D. -
1'. In. G,)..
.. a..s-!
+. '114. (,,0
40.00
40.00
20.00
36.00
.
.
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