HomeMy WebLinkAboutPermit Electrical 1999-8-17
, 'NOTICE:
THIS PERMIT SHALL EXPIRE IFTHEWORK
AUTHORIZED UNDER THIS PERMIT IS NOT
225 FIFTH STRE~pMMENCED OR IS ABANDONED FOR
'SPRINGFIELD;:"oAttY~OOA'PERIOD.
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. L~.23 O/N~}7f)~~- SpJ
. LEGAL DESCRIPTION . / 7 6;) =3 0 I
r-";~t/~/--/~//(,;n} ~O{) 30)
JOB DESCRIPTION
A/ /"'.,e' / fr{ 'ej ,t L ffi-c; JG..
/ ,;
Permits are non-transferable and expire
if ~ork.is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB~
Electrical Contractor ,,~a i:::-,le./rIC'
Address /!.,o. 1{:1, ?
Ci ty Sbd, . r'hone 7'Z-C"-' 9-:..5(/ .3
Supervisor License Number ,J c. 77S'-'-'
Expiration Date
rl-" ~_. r- C.
Constr Contl-. Number ~4"~.~5.;}6 -/?tc
Expiration Date. //i /~ / hY'
/ /
Signature of Supervising Electrician
/~/
-//r~-= ._ D.
Owners Name '~'i Pe./t-1..., 7'rf
Address ,;;)3(p '3l '51- Sf-
Ci ty.. <),1J1d _ Phone "'lZ (.- 6..) I b
'-I
OVNER'INSTALLATION
The installation is being made on
prop~ity I owct which ,is hot intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
. RECEIPT #:
RECEIVED BY:
~.I~-C;c:q
"-
~
, '1- n..
;n 0 c as of the rules by
009 '." ,l (Note: the telephone
calling ~he t~~~rr~gon Utility Notification
numb~rr:~tef ie: 1_ROO-332-2344).
ELECTRICAL' PERMIT APPLICATION
~Ci ty Job Nulnber Cj'q tJ S ( (
COMPLETE FEE SCHEDULEBELOY
3.
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less /
Each additional 500
sq. ft or portion
thereof ~
Each Manuf'd Home, or
Modular Dwelling
Se~vice or Feeder
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
Reconnec t. Only
Cost Sum
$ 85.00 -=1><gS. .-
$ 15.00 c.tr.~ , -
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
"$ 40.00
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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
,.
New, Alteration or Exten~ion Per Panel
One Circuit
Each Additional
Circuit or with Service
or FeederPermi~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Ligpting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
('<
$
$
$
$
-:fll$.-
t.O<
~,Lt~~
LJ.{J -:':l
\ ~(p ,,?O
40.00
40.00
20.00
36.00