HomeMy WebLinkAboutPermit Electrical 1999-5-19 (2)
The tollowin .
ZOning, and ~proJect as SUbmlNed
approval. oes not require spe hafs the fOllowing
. CI Ie land u
Z "- ' se
225 FIFTH STREET __Oat onlng'd:: A-f f ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON9J..4L,e- -'/~ -. () I] T7il.)--
INSPECTION REOUEs~t'IItbai1ii,~ t i/.~ City Job NU1Ilber...::2.::} I
OFFICE: 726-3759 a ure - ~ -
____ 3 ~ \.-Ul~~ FEE SCHEDULE BELOII
1.? W~~ION".oF INSTALLAUQtj /)-/1.
( 1~ S' (.-f1nv../ / al2.-I)L rL~.
/. -7 LEGAL D.&S.CRIPTION I 0
f~ 64C\D 0 c)
. . e5~OU\ll
JOB DES!;~ONl'l' reqU\! on UtilitY
l>1IEN1'\ONo ",n..,rl 0\1 tM ore~.., <<At \ort\'l
\0\\0'11 rU'"'' u;l.... r.1'nose ru\O~.... 952-001- .
P\i'll~~~iQfl.-QeIlWntJ.\~g~lO. rm9> 'expire
i 0 ~!i%-ORai: b~~i"'ll..iJllle!W'jl\~~~\16!l.e days
o. .a,an'dE!a(lp \llH~~" t~S'~O\"R,'IDlted for
18 ~filil tM ceO oregoO UtilIty ~)
"mberlortne. .... 00_332...'2.34 .
2. ~5NTRAJmJR"iNtTALLATION ONLY B.
I
Electrical contractor! cE. F./eclnc..Inc
Address 850/4 "l.PO(\(g(" \-Inll,)(,w Rd
. Ci ty _>::'~ 40 nQ PhoneJ..,BL.\ ... q484-
Supervis:or License Number 4\ I Y -S
Expiration Date 10/1 /2000
,
Constr Contro Number I 0<;415
-:sf :JO/ 2..0rn
Signature of Supervising Electrician
__ S:;c9. Q~ OuAen .
. ,,_ ^r;--... : D Branch Circui ts
Owners Na~-y-]~~ tYla(M1~'.
, New, Alteration or Extension Per Panel
Address) d... <( . fYlO...:H...o!1. oJ UO:ne lCi rcui t
Ci"'u"? /),C) Phone ~> 7~ Each Addi tional .
~ ~ Circuit or with Service
or Feeder Permit ~
Expiration Date
OWNER INSTALLATION
The installation is being made on.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------7>--7.;.---------------------
DATE: 5 -//-71
RECEIPT t1('~Vf')77 '
RECEIVED BY:/J . I YJ a ('heLd ()
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
l~T~~~. or less $ 85.00
Erfll/s ~. 0 nal 500
:;.<4. ~tin@[f~I1e.~~~PIRE IF THE WORK
"lII\!!iIOOfZED UNDER THIS EEaMrr J~NQi,. 00
~~~eM~~~DONEDFOR .
'"Se'dlqltQ~ f'EiIt!€\fh . $ 40.00
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
/'
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
.9.c:8
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation .
Pump or irrigation
SignfOutline Lighting
Limi ted Energy/Res,
Limited Energy/Comm
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps o. 1000
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
$ 35.00
$
2.00. /,;J..oCJ
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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