HomeMy WebLinkAboutPermit Electrical 1999-9-15
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,1' " sq. ft or portion II
Permits are non-transferable and expire ' thereof ~
if work is not started within 180 days Each Hanuf'd Home, or
of issuance or if work iS~eP,p~~ed for Hodular'Dvelling
180 days. TH': Service or Feeder
/SPERM/TS '
2. CONTRACTOR INSTALLAT~RtiED HALL EXBIREar' ces' or Feeders
/qOMME~Ib-.~r:!:ERTHISP n rfa~~n, Alterations
Electrical Contractor~hr-t::~ABAN e9.~-ertlon:
r IOU DAY PE DONEDFOR
Address l-f0C) (l..""",,-~. R/OD. 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
Phone CoBB - $401
4 J'?,' '5 ~
10 lot 101
Constr Contr. Number :j?- I -~S(.
Da te /()~I /0 I
/ '
supe~~lectrician
-/
l~D~ k-Jr
Address .~ d- r3 f. '" ~ oo..J s"-.
One Circuit
Ci ty 'Sf/l/tJIilrMtl, P~one 'l'i4-C- ft;fr Each Addi tional
rulln;,' h", , Circui t or vi th Servh:e
OVNER INSTALLA'l'Ilt~/ule~ .I:',,,.,:' .1 V,, r or Feeder Permi t $ 2.00
'n 0., <.'n, I ;e~ : eo by f~ eqUlref: .
The ins talla t ion)(~l1)b~,rn-gl),ma?,e, onc.o; .,~ Ore,q,Jtl~Vl1isce1~aneou.s (~ervice/ feeder no t included
property I OWl'! "h~Sj],:~s ng\l~ten~~8 "ef:are,~ .'''~.Each In~ta~lat~on
for sale. lease or/);ren ti.',. ;" ,') EI,r, L'OO,_g" 'JAR L)S?' "P.ump or 1 rrlga tlon S 40.00
~ loef/o, tn~'lt2' (i\!Of':~~ 01 'I?F-' ""-O/Sign/Outline Lighting S 40.00
Owers Signature: r~1 ~ O;ep:),; u.,,~hf' (eleo~Ules ,Limi ted Energy/Res $ 20.00
.' ',~~IIl}'IV01ifi one Gimited Energy/Comm $ 36.00
- "'''''~) CatiOn, Cd
______;-________ ------,---f-i~--fY\'r1. , ,~, SUBTOTAL OF ABOVE J O~ '
DATE: ~ '-1 ~ """\ IV~ State Surcharge IU.lS C>
RECEIPT #: \ --1..... 3% Administrative Fee ,4.l?C:;
RECEIVED BY: _ C/ ,0 ' TOTAL ',' I'I( ).~( L
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST:. 726-3769
OFFICE: 726-3759
1.
LOCE~ON ~~~NS~~. ~~1\wl(i, A.
LEGAL DESCRIPTION \ c;(OZDlD \'2. D4 332-
:3> 'l Y'" ~,ll_......",.:.:..~ 1:::.n..._,
City
4t. iJ 1VJ<c.. .
Supervisor License Number
Expiration Date
1./
Owners Name
3.
ELECTRICAL PERKIT APP~5t~lN
City Job Number ~C\\,~
l
COHPLETE FEE SCHEDULE BELaV
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
unit.
Items
Cost
Sum
i.~
UL
(
$ 85.00
$ 15.00
,$ 40.00
$ 50;00
$ 60.00
$100.00
$130.00
5300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
'\J L1Q'i!E!
200 amps"or less '" $ 40.00 ""T
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
$ 35.00