HomeMy WebLinkAboutPermit Electrical 1999-10-1
The following project as submitted has the following
zoning, and does not require specific land use
approval.
225 FIFTH STREET Zoninn L-.O R
SPRINGFIELD, OREG~t27477 - \ 0 - \ ~q q
INSPECTION REQUEST: 726-3769 ~ ~
OFFICE: 726-3759 Authorized Signature I.. _~ \/../
3. COMPLETE FEE SCHEDULE BELOY
1. LOCATION~J'AL~~~ A.
LEGAL DESCRIPTION
17'6 ~ 2- c:; /. \
n//tr!)
J~<fim~_ Ad,
. THI~ pt:t'I~L E%'lnc IFTP.IS \~RK
Permi ts ~tIleRtlE@~lJl-liS!?mMlIp$NPT
i f wo r k 1 s P.Q !.-,,~,t;eh ~ I~ ABlANoG~~lJrol&
of issua~QW~~ll~~o~~ 1s suspended for
180 days .ANY 180 DAY PERIOD.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~ ~
-~~:
Phone 72- cr -l5oV
9~5 --5
(2---/71
6~(37 g~
(z-/q r
(
Signature of Supervising Electrician
.~~
f -
Owners Name ~ l~ D.
Address '2-1'2-~ M~~ ~
Phone 7~faf.O
/tf f Z-
City ~~
/
Supervisor License Number
Address
Expiration Date
Constr Contr. Number
Expiration Date
City
~~
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------------~~---------------------
DATE: lO,-:J.=-- -=-r -/ ,.1
RECEIPT #:( t')~ /+ '^ -
RECEIVED BY ~ _ ('t ,t1. (' }I\,G.-d CJ
ELECTRICAL PERMIT APPLICATION
City Job Number
q~S7+-
I
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
t!"'r:~\J. n ,_:;~~;r --'",
1000 sq".:ft. or" less
Each~addltional 500-
sq.,,'fb o'r portion----.
thereo;f' ' .
Each M~n\.tf;/ d',BomEflor .
ModularDwelling .
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
.Items
. )'Cost
Sum
\ ",.' l~~..'~:-
If, ',$"85.0'0
'. C "J
. - '
, .
.'.'.< :$ 15;-OQ
.' .,;". :~'~ca:~~,
'..: /.
_$ 40.00
'2- $ 50.00 ~
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
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 "B" above
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
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
7% State Surcharge
3% Administrative Fee
TOTAL
/t)t:). ~
~~
//0 P9