HomeMy WebLinkAboutPermit Electrical 1999-1-22
. . I as submitted has the following
225 FIFTH STREET Thefollow~~gcfo~~e~ot require specific land use. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON ~~a~ q. Jf d (
INSPECTION REQUEST: a~6~3i6~ 9 LDR- . Ci ty Job Number ~") ~
OFFICE: 726-3759 on n \ -,,7,;). _ "\ ~ -
Date :;. COMPLETE FEE SCHEDULE BELOII
~;) t,irATIro~~ I~W~Y.~gnature. ~A.
LEGAL DESCRIPTI~
t:J.nJ,~0 /I 0 -;),/0
(;> JOB DESCRIPTION /J 'I
"e (!14'c.f PUU' \A"
Wtv<<..
Phone
Supervisor License Number
'5D;).C!-5
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------O\------QTZi-----------------
DATE:-1-- 4::r ~ 7 T
RECEIPT II: O':>.,J-f.p<-j /
RECEIVED BY: Ii. 1.0rl(lhN-tY/O
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Sum
Cost
1000 sq.ft. or less $ 85.00
Each additional 500 'tee you to
s ft o. '_.""''''' laW requl' . .
qAliE~1 . RJiR9Jl....,.... he Orego1). Utility
tllereotu\ 5 adopted by t. l'SeHolOO
EaeR\I~UHi~rlWl\la.t'6>Pe IU'~':' jte 52-001-
AtRlli'f 14~g) thtou9h OAR 9 \ 5 bv
Sl!Mi :e 5 ~a: ~!l/l'l copies of th~ Wh~l>OO
0090. You (Note: \n" ,elel> .
Servi:c~l~gd're ~t~~~n Utility Notification
InstnlJl11Wtrif8~1' r~f~i'llM'.344).
or Reloca t:fOl'l"\
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above
Permits are non-transferable and expire
if work is not started within 180.days
of issuance or if work is suspended for
1Q.lbdays~..
Iv irv....
__, '''''-''~'''L'C:'!Pmc \I: THF WORK
2rHI~CONmro\\;HlR' INSTALtATION. ONLY .B.
'\\JTHO.RIZI"D UNDER THIS PERMIT IS NOT
E1ectnca1 ContractorrGiI!.Oc.U.'~ ({-e "1 (. ('("erA,
C<." '~ "0'0 UK I::> Atll<I' 'J
Address.P('J. (l,Y'{))<'.) ';)r;:).:2 (!) /
,.
Ci ty cP UO( r!'U -e
~
Expiration Date 10-D/
Constr Contr. Number ~~/'~
. Expiration Date ~~~~6/~
Signature of Supervising Electrician
~ :k~~~ 4(~'l/'L i:li?
) , V D. Branch Circuits
Owners Name ^-..A..\oJlf -5 Ie.. f.oDMt--
17 New, Alteration
Address ;;),,;),<<-fl! kA:J<;,.(~ &D<jS~
One Circuit
Ci ty 5:...r>12-- Phone -' Each Addi tional
. '/- Circuit or with Service
01lNER INSTALLATION or Feeder Permit
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
."
or Extension Per Panel
$ 35.00.;$5, d'V
!
$ 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
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 3 5 . CD
5% State Surcharge /. 7~ _
3% Adminis tra ti ve Fee / . 0 ')
TOTAL 37- yz'l