HomeMy WebLinkAboutPermit Electrical 1999-3-9
The following project as submitted has the following
zoning, and does not require specific land use
. approval.
225 FIFTH STREET .
SPRINGFIELD, OREGON 974Zff'na
INSPECTION REQUESll'<tte 72f '17':0
OFFICE: 726-3759Authorized Signature
t.!) Yl-
3-'"')-9. i
~-
1. LOCATIO;kOF INSTALLATION.
7~q ~.tS~H ~.
. - / 7 - ,
LEGAL DESCRIPTION
/7-"" 3""'?.-:/- ~~
. JOBDE~PTION
~~ ~/~~".~_c;-
Permits ~re non-transferable and expire
.if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Electrical contractorCt(~S 5/-edr;c) IV'L.
Address PO ~X
Ci ty C;pfd.
J48Z
'Phone '74/-2;2-3/0
Supervisor License Number I~IS
Expira tion Date lD-O 1-0 I
Constr Contr. Number ZOt4G
Expiration Date ID-or--q,q
The installation i~b~ing made on
,property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------~------7. --7----------~-------
DATE: 3 1 ",
RECEIPT #: r (~ Jtl7
RECEIVED BY: ~~.;t.,,_
ELECTRICAL PERMIT APPLICATION
City Job Number
06HPLETE FEE SCHEDULE BELOY
<1~/~9
J.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
. Over 1000 amps/vol ts '
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
of Supervising Electrician
, QJ~_
Nam~~' ~~~p~/Af'L' ~~~~ Bran,ch Circu~ts . ; ,.
Z. ~~4 . .'. New, Alter~tlon or ExtensIon Per Panel
Address . I.e'~ ~~~ ~ . ' ~
,/ One Circuit $ 35.00 ~~
Ci ty ~~ ,/?f.Phone '7~y-?~ Each Addi tional ' -
/ ~y~ Circuit or wi th Service
O~ INSTALLATtON or Feeder Permit ~ $ 2.00_;!~~
E. Miscellaneous (Service/feeder not included)
-Each install~tion .
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
tt9'~ ~
~ ' -Y'C;:
/. ~-..,
...s:2. ~ ~