HomeMy WebLinkAboutPermit Electrical 1999-3-10
t ,ollowing projecl as submitted hes Ihe lollowing
zOning, and does not require specific land use
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Date '3 -- 10 . q q
9741jlt/lhorized Signat~re '~
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are 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 ONLY B.
Electrical Contractor cA515/()c 6/-cC' Me,
Address 3'B;2S'3 8OSCf1G6 (./1.
Ci ty 5rr:{w Phone 7<(/' / Y19
Supel'visor License Number 35/7 S
Expiration Date /0-1 - 01
Constr Contr, Number J17770
Expiration Date )0- Y-1CJ
I
I
I
Sip~20~1);;ng Electrician
Owner~ Name R06fR bAJG
Address ~ <6,) $'3
. City <;f~t...D
BoSc.,qG-( LN'
Phone 7 V- /' / Vq,Cj
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
DATE: :>-(0- "'[c;
RECEIPTjI: _::S~I/?_
RECEIVED BY:/ / _ rY1/J (lA ~ /1J 0
~~CTRICAL PERMIT APPLICATION
City Job Number ~ 0( 00 (rD
3. COMPLETE FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
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/volts
Reconnect Only
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
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or,lOOO volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "BII above
"
New, Alteration or Extension Per Panel
$ 35.00 B~---
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~.
5% State Surcharge 1,'7<
3% Administrative Fee i. oS-
TOTAL 37, li'O
One Circuit /
Each Additional
Circuit or with Service
or Feeder Permit