HomeMy WebLinkAboutPermit Electrical 1999-9-23
. .
The following project as submitted h~~ the fol owmg
zoning, and does not require specific land LIse
approva'r..'OTICE: L o.I~
Oalo fHISfrIO~El<PIREIFlHl:WORK., .
AlIIHORIZE~THIS PERI\fHl~1?lCAL PERMIT APPLICATION
974ljtf}OrizeOS~MENCEDO~"I~AIjANUUNt:t1FOR , ' .c:A" ~ b
726-'37[,0 . E 0 Ci ty Job Number - f qo (!?
ANY 180DAYP " ' - .
3. COMPLETE FEE SCHEDULE BELOV
200 amps or less S 50.00
201 amps to 400 amps $ 60.00
401-amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Number -.:i.cJS3 S Over 1000 amps/volts $300.00
/ / Reconnec t Only $ 40.00
Expiration Date Ir) f CJ( --0'\) l~uNie~ireSYOutL.
. . AI 11::1\111 I"l. Iv~\>n '-l;. ~~Rf\If~lfU'V Services or Feeders
Constr Contr. Number ?O~~t:tresadoPtedbytfle I ns~~~i;~on, Alteration or RelDcation
Notification (jemer. ,hose ru es ar ~_ l'
Expiration Date /0/1 /f1;~AR952-001-0010thrO~gh~t;1~D115 ~~%T less $ 40.00
{ I 0090. You may obtalO coples~i lea. ~<:I to 400 amps $ 55.00
S~~a ture of Supervising E~11n~l~oonter. (Not~: .t~~V@~~4' . e~o 600 amps $ 80.00
"0.,\ cllAAllA- RJ~ numbe~~~~~~i~~~~~~~~~I~;m;I~~Oamps or 1000 volts see "B" above
. JJ J. ( _'--:-r D. Branch Ci rcuits
Owners ,Name ~~ ~~
"Address fA.! g 1/. 1.'1 ti1
Ci ty .41~ Phone 7.21, '13 g 2-
, v ..
OVNER INSTALLATION
~J~<{
225 FIFTH STREET
SPRINGFIELD, OREGON
.INSPECTION REQUEST:
OFFICE: 726~3759
1~cY3~TIR ~TION
/ 1~D2(c:t~tI(){)J/ ~
JOB DESciUPT~N '
" . t'- "-
') ,
Permits are non~transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY.' .B.
. -. .' [' . _ J aIIlAJ.W,a}
Electrical Contractor~(lHU'AQ f./r~1"
Address? () Kn y 42/ g c:;
.> City~.
Supervisor License
Phone~1 2 SCZt).
The installation 1s being made on
property I own.whi6h ~s not intended
fo~ sale, lease or rent.
, Owners ~igna ture:
DAtE~------Zi~~~f1'--~-~------------~
RECEIPT #: '. /I .0 S) (.. S S- r
RECEIVED BY: c:;ytN,...{
J
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
~
CCst
Sum,
8~.00
'8'5
1000 sq. ft. or less
Each additional 500
sq. ft or pottion
thereof l
Each Manuf'd Home, or
Modular'Dwelling
Service or Feeder
( . d
Servlcesor Fee ~rs
Installation, Alterations
or Relocation:
~r',1
'- .
;
$ 150.00
,(;0 ;
, ,$ 40.00
New,\Alteration.or Extension Per Panel
, ,I. . '
One C~rcult
Each /l,ddi ti>onal
Circuit or ~ith Service
or Feeder Permit
$ 35.00 '
$ ~~ . 00
E.Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limi tedEnergy/Res -
Limited Energy/Comm
not included)
$40.00
.$ 4t>.00
$ :20.00
$ 36.00
5. SUBTOTAL OF ABOVE'
5% State Surcharge
3% Administrative Fee
TOTAL
.J I.~Jtf)d -(_
- ---I~l-,-~;:'))
1~'1,S-V