HomeMy WebLinkAboutPermit Electrical 2000-9-7
. submitted has the 0
The tallOwin9 prolect ~s equire specitic land use
zOning, and does no r
approval. (1~
Zoning "". _"~ ~
l\,;1't~ U -
225 FIFTH STREET Date - '~ '
SPRINGFIELD, OREGON 97477 Iled Si'gnature-;;)'1'
INSPECTION REQUEST: 726~'1'f6':1 [) ()~ <0
OFFICE: 726-3759
3.
3
DA1E:SEP 07 2000
AMT RECD:2 $ 42.90
CHANGE:
CASHIER:()59
E~CTRICAL PERMIT APPLICATION
City J~b Number ()O~() IY'-i !;-Dl
1.
LOCATION.-Of IN!)lALLATION
IllloL...,', H S+,
LEGAL J?E~CRIPTION
\ 1-0-:>-,:')~ t-j 1
(,/)(;0:;).....,
,Jp-B IJf:~RIPTION
H\/}-t{ ./
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 1I:
RECEIVED BY:
COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular. 'Dwelling
Service Or Feeder
Items Cost
Sum
2. CONTRACTOR INSTALLATION ONLY ,B. Services Or Feede~
\(2 ,;r.;;: Installation, Alterations
Electrical Contracto!\, JUF I f CT)(li(:(lJ~(flC.. or Relocation:
Address U{)/oS 1/). / Ii!!} #/x :~~P_ERMITSH%bEg~b~ElfrT'l~~OR!<
nv , , ,vRIZED Uf\fdiR aln'i>'SPitSflf400, amps
Ci ty ['I J3.f.ne.. Phone I !I'X~-€C~~JCEDor49JAe."lP.eJCHE19PO)Fl'mps
<N 601 amps to lobo amps
Supervisor License Number c~R1-d ;yY 180 DAY PEPoi&M} 1000 amps/vol ts
/ / Reconnect Only
Expiration Date L ~ I /)/
I I ' C. Temporary Services or -Feeders
Constr Contr. Number ~+.s~r:t--6 Installation, Alteration or Relocation
Expiration Date 1"[, }^() ~~, ~ 0 200 amps' 'OT less $ 40.00
,~ .' . -" ' f" '-20l"'anips :".0":400 ramps $ 55.00 -
Signa t)e!tl:-erviSing Elec tricirol~l?w ~ules ad~Og(!)ile (\Je~oo, Uti1ips $ 80.00
, 'JohflcatlonCentovetlc600ulanp:s'e<>>atltlOO volts see "B" above
'I ~ .- "OAR952-001-0010throughOARCl52-00
(/ WI^- JUl:fU, YOU rmy OBlainm~ldtth~sules t
Owne rs Name C'lOc\kJMJ'IlD/\ ~ y'l@\Iingthecenter, (Note: the telephone
l '1Umoerforthe~gojl\.~ti~~9'l1~R1Ica\10Extension Per Panel
Address l \6 S t", ~ ""nt/'!.;, , ~n"_~~'),"~M l
II I . ) II/One Ci rcui t
Ci ty <7iO !Jv1 t01. Phone' 11,r:: Each Add it i onal
;2/'" / 1/ Circui t or vi th Servic~
OVNER INSTALLATION :7-y or Feeder Permit ~ $ 2.00
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40,00
.'
$ 35.00
35-00
dilZJ
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
:-Y1, 00
:,) ?-:2,
~O;~fr-t./' I =!
40.00
40.00
20.00
36.00