HomeMy WebLinkAboutPermit Electrical 1999-1-21
v
. The fol/owing project as submitted has the following
zoning, and does not require specific land use
approval.
Zoning
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. 225 FIFTH STREET
SPRINGFIELD, OREGON 974 770ate
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 Authorized Signature
1.
LOCATION. OF JNSTAL~TION
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The installation is being made on
property I own ~hi6hi~ not intended
for sale, lease or rent.
OvnersSignature:
:~~:-:~i-----r1;!!t~~~~
RECEIVED B... ) . ~ _ ~f1.... v-"
. ELECTRICAL PERMIT APPLICATION
I.;HyJob Number . Of<J ISy!
3. COHP~TE FEE SCHEDULE BELOV
A.
New Residential-Single or .
Multi-Family per d~elling unit.
Service Included:
Items Cost
Sum
JOB DESCRIPTION . .. ~ .~ . 1000 sq ~ f t ~ or less
.-r-e...fJ:. *{'I.7't-':;::::h<~rb-v..e~.:r Each additional 500
f . sq. ft or portion
'Permits ~re rion-transferable ~nd expire thereof
if work is n6t.~tarted within 180 days E~ch Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
2. CO~CTOR INSTALLATIJ}!Q,klCjE: .B. S~~~~~~ 2>~ Feeders
. THIS PERMIT SHALL EXPIHqfilS Hj~f1vc1'tr6'n, Al tera t ions
Elec trical Con trac to~~~tf~~~ER THIS PEP1M~1<$~Oiron: .
Address /DD / .)6J &'~~DJ2R l~fN~~EQi~ or less . t $ 50.00 ~ a 'Db
. k7 ...J. Ai\~Y 1 nt} Dt,y P-~RI(lD. 2. 01 amps to 400 amps $ 60.00
Clty (/~/A/"',K) Phone XI{ 2 -';;L;)t? 401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Supervisor License Number:;;'b $"/ /5 Over 1000 amps/volts $300.00
~ ' RecoI].nec t Only $ 40.00
Expiration Date /t) /0' AiTEN7-tQ .
/ .:.... T9YC('!I rUle N:Qcego,r.fmll?orary Services or Feeders
Constr ContI'. Number yC:, ~fiea~adOPted~l~'t~j;'W>lJtAlteration or Relocation
m OAR 95 enter. Th e Oregon U . .0
Expira tion Date '7/19 0090. v,..,}-001-0010 i:%fftiUJ~a"'EPset~/l!15s $ 40.00
.. Cal/in - ~ "'dY obtain ?'f/J.9ta~ s8;&OOh amps . . $ 55.00
Signa ture of Supervising Ele~flH!:le center (N 81V~ cifQAe F,91"@(J1J).. amps $ 80.00
/J L.Y7 er Or the Ore~ ~.ebe~@~piim~~ b9'r 1000 vol ts see "B" above
a/:;;~1;~ter;sl-69~~~~~:ts - - ,_
-l1lo~,'~
~ Ph~ne ~.. .<&ff!-
$ 85.00
$ 15.00
.$ 40.00
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or. Feeder Permit. f 'J... $
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
. [2 U lJ..?;v
2.00 7
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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