HomeMy WebLinkAboutPermit Electrical 1999-10-5
Nev Residential-Single or
Hulti-Family per dvelling unit.
LEGAL DESCRIPTION Service Included:
J<l tn Oh./ 'L ,-L!.'/i1.1K) J.oro :iG.~-
JOB, DES~~I~ ~,~~;. ,~~~~.:~di~io~~/;~~
, f .' . . 'sq. ft or portion
Permits are non-transferable and expire . thereof
if york is not started ,within 180 days Each Hanuf'd Home. or
of issuance or if vor~Gis s~spended for Hodular'Dvelling,
180 days. l'!a' ,.~'~' r,. e, ~~ '. 0,.", , Service or Feeder
In C' . t;rl r'~." chil .
,.. .__'. t '" n te,.""
2. CONTRACTOR INSTAI:U';f,?N .ON~Y : ", It ~2 ,B;;~~S~5Iy!ces '~r Feeders
. _ Ca'li,,' , >C}".L.' .' ":'~,~,' I)I~st~Uatl~n, Alterations
Electnca1 Contractor-n,,!j.<rk fG~_" , '~o!,Relocatlon:
40Q // .~R':'::Al~;~, ~'." ;,C,,[,oor't;;~':S2~0'0'~"a'hmps or less
Address IU. U'<'L ~, ,~. ,. '.ii"" ;~!<:,;,~:iOl!)Jamps to 400 amps
Ci ty ~t./r4AlL Phone o88',:;,6L/cJ /OlifiCat40l amps to. 600 amps
A ~~ ~Ol amps to 1000 amps
Supervisor License Number Lf/'~ 6 ~ Over 1000 amps/volts
L^ / 1 /0 I Reconnec t Only
Expiration Date v
. Constr Contr. Number >>7 - 35(!,
. ~ Expiratio Date ~hl.ft J '
if1 . '"' of S"P':~P:J."'ddM
Name~;~ ~~~
Address '?:J;).5<2 f,,vV(1't'"
One Circuit $ 35\00
Ci ty SIP/IVUt /./1/ Phone '144 -, 9~6 Each Additional
'. Circui t or vi th Servi'ce
OVNER INSTALLATION or Feeder Permit $ 2.00\\
The installation is being~~r/~n:' E. Hiscellaneou6 (Service/feeder not inc~uded
property I ovn which is n~/St~~~~ed . -Each in~tallation '
for sale, lease or rent.lUJtHOA ItSHALL Pump or ir'rigation $ 40.00 \
COM' 1lEDU . EXPIA SignlOu,~line Lighting $ 40.00 \
Ovners Signature: AN 'MENCED 'NDEAtHIS ~/f'i'M:t.!;\cl Energy/Res $ 20.00
Y180DA OAISAB PE11~Iff(lWFf,pergy/comm $ 36.00
_ "'YP~~'" 'DON ISNOr ' U CJ
------:---------~~-A~----5 . 5. ~\JBlWAL OF ABOVE ' / 7
DATE: lV' - ""'\. Ik '5% State Surcharge It. '10
RECEIPT I: l ,.L..~ 1:..1 3% Administrative Fee . r.tO
RECEIVED BY: 'f;;1..l.b.Q JL.-'" TOTAL I ~ 7. Cl'I,,)
r'l( !alh:JWlng project as submitted has the following
lfj'-.u,g and does not require specific land use
225 FIFTH STREET ,',,'v I
SPRINGFIELD, OREGOi(~74'71 r~ LO(l..
INSPECTION REQUEST... 726-~~b"J IO-~4~
OFFICE: 726-3159 r"".. . ~
1. ~A:tI9N OF INSTKLLA"i'I~anatureJ 3.
~ 7.}{'" '<:. fl-!bJOIS A.
ELECTRICAL PERMIT APPLICATION
City Job Number CjCf/2,o!
~LETE FEE SCHEDULE BELOII
Items
Cost
Sum
$85.00 '( 5
I
-'
$ 15.00 l/S
.$ 40.00
$ 50,00
$ 60.00
$100.00
$130.00
$300.00
$.40.00
c.
Temporary Services or Feeders
Installation. Alteration or Relocation
, ~
X $ 40.00 46
$ 55.00
$ 80.00
volts see "B" above
200 amps','o-rless
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel