HomeMy WebLinkAboutOccupancy Electrical 1999-10-25
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The following project as submitted h~S the tollowing
zoning. and does not require specific land use
approval Q ~
225 FIFTH STREET in J...... ' .
SPRINGFIELD, OREGON 9747'1 g lO <~.. -CJ!J-
INSPECTION REQUESTlllte ;'2::-J-:-~; If
OFFICE: 726-3759 Aumorized Signature
3. COMPLETE FEE SCHEDULE BELOII
1. LOCAT~ON OF IN~LATION]) -'
~?;:!O 6.(1jy1t"', ra rm IIm~ . A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each" a'ddi tional 500
sQ.i,:ft ,~t ..p_ortion
thereof '- "
Eacir'Manuf, d lIorne.,or .
r ~. ~ ~
Modular Dwelling'.
slir~l~e or Fe~der ' . )". ',,' $ 40.00
. '. ,., ..'~ . .,' ,0.
2. CONTRACTOR INSTALLATION ONLY ,B. Services":or,-Feeders".',. ,'I;.,
n,l.' I I Installation,' Alteration's. ','
Electrical Contractor..!:1llll,os ,E eOrlr) IAc or Relocation:'.....,~... ," ":;'c';_
Address~P, Rete-pi DrIVe. 200 amps or less- o.i.~:. -"6$(50.00
201 amps to 400 amps ' -QQ0,$ 60.00
City FuClIe.lle Phone foX'R-6!c2/ 401 j\Ms to. 600 amps $100.00
~ 601 ~mp~/~1000 amps $130.00
SupervisXr License Number ,$ 7 /q.s ovetft.ijls,O"6lIlps/vol ts $300.00
. /, 7 ReEjPMe~~J}ll $ 40.00
Expiration Date 10;DI/ 01 co:~,!a~Z7;,,>-~It.J!,I)
rI /} C. 1;empoWA --""6WJ.~es:.w;Jeeders. '
Constr Contr. Number ~O -/ I IC~ fltW1:~L 8~twa:~'id:'lJI)l]:'W Relocation
);; ,/ ODJ!,y 'R/SA' IIi/Sp~ I-/t:~
Expiration Date /0;0//00 200 amps"6'r~Ms8J!,tvDG 'fT1L?t'r1. ~OO
.' 201 amps to ,,'Oct amps IVFf)o::: ~~.OO
Signature of Su~Yising Electrician Over 401 to 600 amps 'OAS 80.00
'----Y- A Over 600 amps or 1000 volts see "B" above
v . D. Branch Circuits
Owners NamekbN ""C,Noyi),)l-Irrmee
Address,,*,:7,,;zO Mm~HiIe.fY1 'ROAn
Ci tY~J N"fFJEI...D Phone 7<J7~58'f
i1~~T1l1~0 / DO
J~ frCRIPTIQN I' I '"
JiJ5 net --<J n~r::5 u(.:x::rra. I t':S
,
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
OIlNER.INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---~~~~~-~-~-------------
RECEIPT I: ~ ~"t. I L-- -
RECEIVED BY: ~.....
ELECTRICAL PERMIT APPLICATION
City J~b Number qq / Lf. 7L(
Items
Cost
Sum
$ 85.00
$ 15.00
.'
New, Alteration or Extension Per Panel
/
3500
$ 35.00
One Circuit
Each Additional
Circuit or with service/
or Feeder Permit
$ 2.00'. c2,60
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 37. 00
7% State Surcharge d,O<f
3% Administrative Fee /, 1/
TOTAL ~0....70