HomeMy WebLinkAboutPermit Electrical 1999-3-11
~::i~~'oa~~g:roject es submitted has the following
appro~al. Des not reqUire specific land use
Zoning L D YL
Dale "3 - , I - '1 c:;
225 FIFTH STREET
SPRINGFIELD, OREGOWI~,~,'1 Signature, 1<.uJ
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
, i 0 U I ~ u A-...'I 5 Tf2AeI:
LE.GAL DESCRIPTION 5 0
1106 d.-(,. ~I n& ()
ELECTRICAL PERMIT APPLICATION
City Job Number q Q()3/rP
3. COMPLETE FEE SCHEDULE BELOY
A. Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Items Cos t
1000 sq.ft. or less
W.'7J1.,r'''C-M'Z O-t~ach addi tional 500
. sq. ft or portion
Permits are non-transferable and expire thereof
if ~ork is not started ~ithin 180 days Each Manuf'd Home. or
of issuance or if ~ork is suspended for Modular'D~elling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
,~Llnstallation, Alterations
Electrical Contractor~{'fLlleL-4~CQ~~r Relocation:
() . .:r /\.C. .
Address 11"-',,) (30)C ~4 q ?..., 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
JOB DESCRIPTION
~Ii' _ i-l-04<:!.()lL,,? ,u".A-T ~11-f
-.
,
,
Ci ty 'i-'J--'-
Phone ~.PR- If, ILl
Number J}D-"~L-
Supervisor License
Expiration Date '1,0 - 1_ 00
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
Constr Contr, Number '7 0 B~ q
Expiration Date_I..). -~o-tl~
Signature of Supervising Electrician
~A_ _ /J JL-
O~ners Name &e..~/J .~ t'-\-,U) (5fk/?- j IZ
Address It) L.( \ !l." .""A-L-\- Sr
Ci ty Sfb2c rv1 h~ Phone....:1..-1/ L,;)P9E
OYNER INSTALLATION
The i~s:~llation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
>2.
Owners Signature:
DATE~::-l/'~'l21----------------------
RECEIPT 1I:
RECEIVED BY: n, ~d1MO
200 amps' 'OT 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
D.
Branch Circuits
.'
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
Extension Per Panel
$ 35.00 3S ,()O
<.[.~
$ 2.00~ I
not included)
Ne~, Alteration or
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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