HomeMy WebLinkAboutPermit Electrical 1999-12-15
;,".'
The fOllowing project as b .
zoning, and'does not su ,mltted has the follow
approval . require sPecific land Use
Zoning l.. 0/ <<-
Date 1")-. - IS- i:J
9747t:"l.ltitOtl2ao Signature
726-3769
LEGAL .DESCRIPTION
I?~~ 2-) 1.1 ~///9n
JOB DESCRIPTION 1000 sq. ft. or less
#Pu~ ~tf!- (~~ ~T L; ..I~ I Each addi tional. 500
, J sq~ ft or portlon
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Fe~der
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
".J j.:J- :1-- /2~"
2. CONTRACTOR INSTALLATIONONLYB.
Electrical Contractor 7~~~49- Z:e...i.t~
/'O(lZ~ 71~ i#~
Phone #9' ~(!; c:o
5</5 -.5
Address
/8
Ci ty z;"" 1I.?~
S . #.L"'
upervlsor lcense
Number
Expira tion Date 12 /t'/
Constr Contro Number 0~/37
Expiration Date
I '2/ Dr
Signature of Supervising Electrician
;2~ W. ~/V-->
. I
Owners Name ;~~ J~
Address
City Phone.u.,-_-fIJ!dO
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
~
- DATE:
RECEIPT #:
RECEIVED BY:
) 2 -I r- ~ r .
'J~'f)6f
/~ ...
~ ,.--,
, D.
ELECTRICAL PERMIT .APPLICATION
elL]' Job Number ?1S0b71-
3. r COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
$ 85.00
$ 15.00
.$ 4C.00
--.. .---...
Services o~ed~~s
Installation, Klt~rations
or Relocation:
200 amps or less
201 amp~ .t9 400 amps
401 amps to".600 amps
601 amps to TOOO amps
Over 1000 amps/volts
Reconnect Only
I
~o~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less $ 40.00
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
"
,
.'
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circui tor with' Service / ,p
or Feeder Permi t 3. $ 2. 00 ~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigatiqn $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy!Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 5~ ~
7% State Surcharge <,9?-
3% Administrative Fee ),(,'b I
TOTAL L.t&:.O
. "*" e