HomeMy WebLinkAboutPermit Electrical 2000-9-7
44
DATE:SEF' 07 2000
AMT RECD:2 $ 40.70
CHANGE:
CASHIER=059
ELECTRICAL PERHITAPPLICATION
The, following, project as submitted has the following
225 FIFTH STREET zoning, and does not require specific. land use
SPRINGFIELD, OREGON a9o/47~ e- <L.-
INSPECTION REQUEST: 726-3,.g~ n. "'"
OFFICE: 726-3759 Date "1\ ~ u'" tfT1:),
~ 3 COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INS~~~1~na,",e .
~I 0 ~ Q ~IA {..Q.lt1111 taD BI vJ. - A.
,LEGAL DESCRIPTION
I Q- 0J '2., ~>~L..) W
o ~,~ Dc})
JOB DESCRIPTION
~ 0 ~.,,) FAO-..A' 0_+ IA-(t,
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or .if,work is suspended for
180 days.
Ci ty Job Number Ob-t13lfl1 ~,~ I
New R~sidential-Single or
Multi-Family per dwelling unit.
Service Included:
Items' Cost Sum
1000 sq. f t. or less 4 $ 85.00 f!I?
Each additional 500 ,
sq. ft or portion ~ ~
thereof $ 15.00
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder .$ 40.00
2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders
NOTICE. lnstallati~n, Alterations
Electrical Contractor 1-LII"" or RelocatIon:
/ 11"0 PERMIT
Address / AUTHORIZED ~t1&LJHffNPIAr 1iJ:JT.PS
/ COM' - 2~&rp~P!/~R 49tlEa~pU<
Ci ty Phone lit.. MENCED&IA~c:;am-ps %EI6.IDWffbRjP.l!)-,.
7 iii vr 780 DA Y p~gr; .ik1fs'lJft(9NE,g9P)jaihps
Supervisor License Numb 0ve~.1000 amps!~o~ts
, Reconnec t Only
Expiration Date
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
te " ,. c" I.,; \ 200 amps' 'or less
'mOll! iW6(. d - ''201 amps to 400 amps
Supervising Elec tri'dlination C aOPC@fieJy tM ~hl'o<;;-'600, amps
. OAR 952-0 entef'~e~Jg!r~Q~~H..ijNir.1000 volts
U090, Y"ulm~010thrO!JBh~L1~eSeffo;"i '
calling the Yf)'))) ij'~~s C"1TQ&.5~01
Owners Name~, rk A. AA. C C:;Q.f{l>Jl11hl':\~l_ th . (Note' tfl,ottherUles b,
" , ,<~A_ ,eOre~fl?Jt~1ilft~fS or Extension
Address d-lO W. ~ k\t\ \/\ (aJ ~l \f& ' ,r". ~,,~ ItYNotltlCatio>' '
d ' One Cit'b'Wt' 1 $
City SOv\W>1B~ Phone i14-l-DqQC) Each Additional
\ J 'Circuit or with Service
OVNER INSTALLATION or Feeder Permit
The installation is being made on
property lown whi~h is not intended
for sale, lease or rent.
Ovner~atur~:
--~--~-------~------------------------
DATE: q- ,.... ~CJtJO
RECEIPT #: ?-./44
RECEIVED BY: /,u-A
$ 40~00
$ -55.00
$ '80.00 '
see "B":above
, ,
,.
Per Panel
35.00
'35"'",,0\)
$ 2.00
,';)" cJj ,
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
$ 40.00
$ 40.00
$20.00
$ 36.00
n.oo
~ .-") ""'l
- I LV
4-0 ( ( 0