HomeMy WebLinkAboutPermit Electrical 1999-7-13
The lol/owing project as s b .
zonlOg and does not re U ,mltted h,B,S the fOllowing
approval. qUire specIfiC land Use
Zoning vO~
'1/ I/J.W;
WJ
(p.
10QO~,it. or less $ 85.00
Eac~~aij<<I~tonal 500
sli/;lI~EFlMlf~rtion .
, t4l1mf\t. HALL EXp/",- ._ $ 15.00
Ep~ fn(\'{l?EcaUllPJ)!.'b~r "~''-IHEWORK
l1'bH~Ii/rJ(Iil.offlJ,;IJ !1"g' HIS PERMIT
M!'rY~6l)~iir 'f'e~~BAN[lrlI\""'_ ,IS NIOroo
"YPERIOD - '...uFOR
,n. Services' or Feed'ers
~ . Installation, Alterations
U IIl':irOnu-ror Relocation:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
9iJJIilP
726-3769
MultJeJr/z9d Signature _
1.
LOCATION OF INSTALLATION
~b f( 1<;vPr knoU.
II hili
1-m~~~~'ft1/Jo;L
Jon DESCRIPTION .
/,'m;fni 'nl'rql{ /<'tu.udq
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
,
Electrical contractorlJ;wr~;d
Address p. 0 Bo><. L/ IJ '" L/r,(
City ~uql'nl'_ Phone JI'6l/-tlD7'if
Supervisol- License Number n31 JLE
Expiration Date
10 J Qt:)
Constr Contr. Number
tff: /45
Expiration Dat:~~O
;'[JR:rJJduiv~"' El.mioi~
Owner~ Name4nrnoo, "" n<?~r>of/L-t:
Address / f? '1 rq/i/ddl A-V'.
City 4~ "1"/lD Phone..~1.fi.p'l:i
OVNER INSTALLATION
The installation is being made on
property I owp. which is not intended
for sale. lease or rent.
Owners Signature:
~~~~:::i!27-r;z--q-~{=-~;~2i~---
RECEIVED BY: ,. -flit (~ _
ELECTRICAL PERMIT APPLICATION
.~i ty Job NUJ/Iber q q D 7 2.. <.
~~TE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to, 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
ATT~ctnnect Only $ 40.00
fOIlOW):~ N:Oregon la ..
Noffficat ~mp8f1B!PYaO>qf~ire&iilol; vBlJeders
inOAfl lrsl'ia!l'l:a.tfti?Bs/ 'R-lGi!!OOaUi:?>r Relocation
0090 2-001-0010 e rUles are s Y
Cal/O'i.~'03_'amlltiii'i?rq'W'sOAfl9'j;t ~onh $ 40.00
ngtoo.c1 h ;o~OO a!1!\~1> . 6,- $ 55.00
nUmber (welle '.. (t' 9t%~Oe~Bfi~~'Il" by $ 80.00
~61J.i~ _~gfJ.fltb!lIIity.'NAWIl8;""'!jltS see "n" above
on-332-2344) tton
D. 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 UJ OU
Limi ted Energy/Comm $ 36.00 .
5. SUBTOTAL OF ABOVE '1Q. 00
5% State Surcharge I. QIl
3% Administrative Fee , 'L1L--
TOTAL 11. 1.0