HomeMy WebLinkAboutPermit Electrical 1999-8-31
Zoning J...D~
Dale << "-:;I"&' ,
Authorized SigJlature .....k/
225 FIFTH s'1'lU.'[;.'-
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
NUIte'E:
THIS f>~HMIT SHALL EXPIRE IFTHE WORK
AU I HUHIZED UNDER THIS PEAMtTlS NiHIECTRICAL PERMIT APPLICATION
9~~~~~CEDORISABANDONEDFOR City Job Number 91/lbe
!,,~V 180 DAY PERIOD. .
3. COMPLETE FEE SCHEDULE BELOY
1. LOCATI>lli. OF INSTALLATION
(~'{..~ 1-<,"",~(1
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
JOB DESCRIPTION 1000 sq.ft. or less
?, -\-,,, (\ (\,'." (',...0 ri:-+; "'"e. (,-;:;-:;!~!~~"GreQJ' I..J::i'c~hJ,a_<!~H'~'onal .500
I . '1><; "rlopted by tt)gq;re~!)nllli" po r tl on
Permi ts are non- transfer~bl~O?$~. r,\1~p.~re T ose rW~I~R:.fset ton;,
if work is not started w'tR"rn'it'18~Oaay'sI11eJ. ~h Each) Manut'&).Home. or
of issuance or if work is sllsp^efiHrlia.lf'b1tOOl rouHBdJ1~l;Jl~~lling
180 days. 0090. You may obtain cop's~rHrc~ dr F~eder
calling the center. (Note: me lel~l!hul ~e
2. CONTRACTOR INSTALLATION 6litiYJerforthe OrEBlpn IsWj!1Ii'1:1!~IC8~oFeeders
.... ~ "):mtp"'s ~~n""''''fRst~'iCllation, Alterations
Electrical contractori)\JX~ f:(Q(~(, or Relocation:
Address ~~l~ tV. tIYlrJJ~
City UaJJLI( Phonef!H5- 2440
Supelyi$or License Number ,-:zJJJILt - S
Expiration Date 10/1/00
Constr Contr. Number Lo{~~Cf(j
111'BJqq
LEGAL DESCRIPTION
J71J ~ -;q 2'5 01110
Expiration Date
.,
Sign~ure ~~rViSing Electrician
~(J~
O"ne.1:i' .._me("\\'\r., ,.,.,: I h
Address .1&'.r. Q^, .,00'"1
cell "153-'<'/0<09
City Phone.
LO\( &,,"5"7- J,,/ 15
OYNER INSTALLATION
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnec f . Only
It ems Cos t
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
7 ID.: S ta te Surcharge
3% Administrative Fee
TOTAL
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
"
New, Alteration or Extension Per Panel
<V
$ 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
Limited Energy/Comm $ 36.00
D.
Branch Circuits
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE~--~~~~l~_~~~------------------
RECEIPT 11: rI-.J.::fL:C>'-//. .
RECEIVED By:fi4')1(j{.'/nc/;f/ ( )
On~ Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
,35,00
al .<.i,s
I.^"'I
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