HomeMy WebLinkAboutPermit Electrical 2000-3-7
tt,:",n., ....- ,
. .
ThE' lollowln9 pro~e~~~~:qUire specific land use
~()nlng and doe~ .
approval L 1/ (L.-.
Zoning ,......-"\
. ~:- '1"'" v .....
O",te - . "t\~
97477,.j(\\oIized Signature. .,
726-3769
.. .
~\C)> \~..,~.,)
225 .FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
3.
1. LOCATION OF IN~TALLAT;fl
L(~, \ C Aent\) I P. . ,\ OL qJ/78 A.
LEGAL DESCRIPTION
} I Of\1hT-~~: 3'1 ~ 00 / cf
fl~~;:"'RE'FTHEWORK.
r.o n I Fir" I-'t:HMIT IS NOT
Permi fs ~'lO~~ct>R36~~~()~pire
i'fw~WYi1~OIBllW pl:f!ffGtjd wi thin-"1'SU (lays
of issuance or if work is suspended for
180 days.
2. .CONTRACTORcINSTALLATION ONLY
Electrical Contractor ~t.u...lJ ~ro~:.
Address 401 S<1 ~O(\.LJ:Ll f h1 ~.d
City ~~Id Phone j4J-l7ll
Supervisor License Number ~ liDt ~
Expira tion Date 10 ~O 1- 0 I
Cons tr Contr. Number ---Z-O '-If Lre <:-
Expiration Date
1 (') -0 \ -00
Signature of Supervising Electrician
f1oN\. 4~1A:"
Owners Name!lll/1!u a.1 !It fjUJ.f..au~.
Address Llt-t7/ ~
Ci t&/./,tf.-/ Phone
O~INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------~~--------------------
DATE: -3 -0- ()U J
RECEIPT #: 0/- U () u (j ts -~;(;
RECEIVED BY: h _ n1 a cJ..-tJ-tIJ)
,
.J
8
DATE:MAR 07 2000
AMT RECD:2 $ 44.00
CHANGE:
CASHIER:ODl
\
~~~L~CAL PERHITAPPLICATION
Ci ty J~bNumberOO GO .sv~ 0/
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Ant:l\J IIUl\t~..d;;;I;U;J 'a~~3!!.1eil"''- y.G.os.t
;:;J. -~....,~ ,",U J;.
fo!low ~ules adoRted by the Oregop lJqlit"
10\i~~bfAAltl~A=. e\ft ~t.;F,ffuse rules ar~sgrtb~9i
EC!-i<l~ ~52 - .orO'through OAR 952-001-
iJPllf ~B~li la>,\\ copies of lh'Sr"1~ 60
Ea IR~ 'l\1 ~(\'Ipt€. th. talephone
~~!~ \\'~~~~r;~~~~~~"~~li~C~~~~o
B. . Service~~~i~Peedets-'
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 ~
c.
Sum
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
LID ~o
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
Branch Circuits
-
$ 40.00
$ 55.00
.$ 80.00
volts see "B" above
,.
New, Alteration or Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t .
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
J i o()
"",0.
;)--g'(j
J, ';}-eJ
Li c..../: cru
/ .