HomeMy WebLinkAboutPermit Electrical 1999-10-5
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To" following project es submitted has the following
ll'j'1"19 and does not require specific land use
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Zoning
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225 FIFTH STREET ['cfe
SPRINGFIELD, OREGON 9747.!.,"q,Signature
INSPECTION REQUEST,.. '7~~-j'b9
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION /J W
_' 3'1o<{ S (4,(6 . A.
LEGAL DE~CRIPTION
Add ress l( If 'f
Ci ty f.,v&-tiAM-
4-u~.
t!..Vf.Jl..
Supervisor License Number
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
DATE~-~-----1\J~~~~------~---~~-
RECEIPT .: - '~ Q . -?-~:f1
RECEIVED BY:_ ,\J~f~ .
ELECTRlCALPERHIT APPLICATION
City Job Number 1'1/20 "2-
3. COMPLETE FEE SCHEDULE BELOI/
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
Cost
Sum
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1101.fl'll .1>/'70':> Items
1\00 ~,
JOB DESCRIPTION 1000'-sq.ft. .or less I
s. r. ~'\'G' "" . Each additional 500
IIC!:., ..' ; sq. ft or portion
Permits are non-transfl~~~ ~ expire . thereof
if work is not starte~,~~h~R~~Q~days Each Manuf'd Home. or
of issuance or if wO~k~~n~edL~~ Modu1ar'Dwelling
180 days. A 'MENC~ UNDEA 'PIAEIf:.,.,. Service or Feeder
NY'Rn cDOA 'HISp 'rfEt1.1 '
2. CONTRACTOR INSTALLATIO~,<'Q~ ISABAND. 'ffiMtf>~QfJ/{es' or Feeders
~OD, ONED~t~~~lation, Alterations
Elec trical Con trac tor IU,,",- t€-14..orllrL. Ge Reloca t ion:
Phone (;,tHl-5'-"'(
'-{ /'bS cs.,
~XPiration Date /D / I /01
onstr Contr. Number J-;).../ ~ 35 t,
(& xpiratio Date /Oh/~'
. ~~Si supervO~' . : ~i'~ttr~cian
. I~... .
I //
, I A f> --/".. ',. D.'- Branch Circui ts
Name l<fY1VIp';fd'~e~.. '. ,. 0:" '0
'2." r/2' If?~'n.'.' ..;. ".c '-" Newl!.Alteration or Extension Per Panel
Address ;y..,) z;;> ',,111'1/;;;;';(""'" "',1i.-' .'""
'.'_ One Circui t
Ci ty _<:t',{J,v&hti-lrl Phone '744 -<';71(~' T- Each Addi tional
\ " 'Ci rcui t or wi th Servi'ce
OI/NER INSTALLATION . lIe",;. or Feeder Permi t
.~
$85.00
r.s--
Ir
I
$ 15.00
.$ 40.00
. I
$ 50,00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, . Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
-
voHs'
x
$ 40.00 '-I(),~
$ 55.00
$ 80.00
see "B" above
.'
$ 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
. Limited Energy/Comm $ 36.00
5. /"0 ...
SUBTOTAL OF ABOVE (
5% State Surc!large .,. r
3% Administrative Fee ~.2A
TOTAL' ,.; '1'