HomeMy WebLinkAboutPermit Electrical 1999-7-13
TM following project as submitted has the following
zoning. and does not require specific land use
approval. l.nll, ELECTRICAL PERMIT APPLICATION
97477 Zoning VI/IV Ct;' .., C;
fkPe-3769 /k i'lJ, VI'! City Job Number 7 (()?-O /
Authorized Signature 0/1 ' ~OHPI.F.TE FEE SCHEDULE BELOI/
1. LOCATION OF INSTALLATION I )
fl7.!L..'1<.' VP r It nnl1 (.Jnll ATTE'WTION~rJ\e~Aden t ial-Single or
II I M"] ~""E 'a"vl'b'4Ij1rpS~/:'I--":l1' .
fO ow ru es _!!o~t~l:i1j';5h.X')g~E),r UW~1- lng unl t.
LEGAL DESCRIPTION Notification Cefi.lfJy'ice lJ:nCl't1'ded1f1 Ulthty
/16 s 2 3 I.{ ~ 0'1000 in OAR952.001_001b';~se r~esalesetfO!litems
0090. You ma I . n ,. mug OAR 952-001-
calling the ir~IS!i,.CfltE!s 'M:!hl'ess~s bv
""'Tlhertortl\W. U'dalFtl:on~1E;/5Q(he
. sq'feffltn b'ii/ij)or\ttifAAJtion
Permi ts are non-transferable and expire Centerth~,pe'8@32-2344),
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular'Dwelling
180 days. Service or Feeder
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
JOB DESCRIPTION
{im,l,d ,Pnfl'n'l
<:" 1"/1 f "I-~c'
Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B. Servicet...l1.! Feeders
, Ins tallh.'l\.1C1I1C!l tera t ions
Electrical contractorlJil/'ffK;tJ~d ~ 'ufrOni-Mor Relo1fflS~ . .
, MIT SHALL
Address P.O. ~M ~L/f( 200 am~~ EXP/RE$:~Q.9_
201 amp6>fvY.qc~AP. aIJrWst:.!:!.ll:l1s pcl-./'.r. (j(jJ1'1K.
City ~,,~qI'M' Phone 5t./1-L/gt{~q01i 401 alJlW'y}R3eeDail/ilISAtl^',,,, ~ij'Ja~OL-_
601 amps 1:I(IJ/iQ~ljhm~ . "'vOfWOfirQP
Supervisor License Number 383/' J LE Over 1000 amps/voHS'v. $300':'00
Reconnect Only $ 40.00
Expiration Date
10/ qq
Owners Name {((/Uf' g. J./Ofhl$
Add ress P. o. j:? /lit. '7'" Z5
City k "qelll Phone 7t1t/c 21L.{~O
OVNER INSTALLATION
The installation is being made on
property I OWP. which is not intended
for sale, lease or rent.
Owners Signature:
~~TE~-~-~7i~jt~---------------------
RECEIPT li ~ f) ~ tis&. '? /', I ;
RECEIVED BY: ' ~ I-/"'V'
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
..
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
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 S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00 ~O
Limited Energy/Comm $'36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
'1..0.0,0
/.00
. I, D
'1./ ' IJ 0