HomeMy WebLinkAboutPermit Electrical 2000-2-4
. .
The following project as submitted has the following
zoning, and does not require specific land use ,
approval, ~
225 FIFTH STREET Zoning c...-
SPRINGFIELD, OREGON 97477 "2. --1.{- ern \
INSPECTION REQUESf?te 1l.tJ-j/b'1 ~
OFFICE: 726-3759 Authorized Signature
1.
LOCATION OF INSTALLATION
,;1.04 ?Jot'" S+-,
LEG; 9JW!:5f?J6 /) 0 7 () 0
JOB DESCRIPTION
i n 5+0. I I SecLlv-i+y
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
Electrical Contractor Son it ro I
Security
Address P.O. Box 21009
Ci ty Euuene
Phone 461 - 5678
Supervisor License Number /lhlfl t<GT
/D//- en
Expiration Date
Constr Contr. Number 65149
Expiration Date
6-28-00
Signatu%Ae, at su~erv~s' g Electrician
/~
..../'
/")1 {J ~ -------, ' D .
Owners Name (-?f)ot-hu)tl U/)! (). fuiloovnnt C+-r
,
Address 2C4 3:->\ f, 2r1
Ci ty ~i~le-iJ PhoneS V ~ - / r 0 I
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or ren t.
6g0:~3~s Signature:
: 38NtlH:J
09'6~ ~~:n~~~ IWH
OOOG ~fr1i5j~5~------------------~----------
lLt;OOQ(~)A:m~i1:J'1t-!I:jHl ~t.-, ,I-
RECEI YT #: ,( ~ ' 1 I'
RECEIVED BY: ~ .,r\ ,U _____
ELECTRICAL PERMIT APPLICATION
City Job Number 4'q /.D /61S -D (
3. COMPLETE FEE SCHEDULE BELO~
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
, . 1000 sq ;"'it. or less
Eachii~~E,i~iorial . 500, 'I',;
S alol/e~ cl1r I~p~!= t ~ on . ,
E:i~~~f:J;~";;;;~f6.;" It;;lil.ll{' $ 15.00
oee9~t~~, ~~~ !fn€hos the Ore, 'g~SYOU t.:
, ~1f,jC&f1Wy '/j. ro~ rUles Are ~lJtifftyOO
nUrnbA~ the ce~tal,f) c, 0..0' gn O.4~ 9. Set fOrth
servretbrtfle /;;~OtB~eSOfth ,'52-001.
Ins t a !V.h&~9" let}'(/flJ,Jltfre:ri/i'e e rUleS bl
or" ReI 0 cat 1'0 n-R!')!').? t'lily Not. 'f:!hone' .'
, ',. '. ',3?_:?''?441 "'Cation
200 amps or: le,s,s '.. $ 50.00
201 amps tq 400'amps,..._ $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000' amps $130.00
Over ~~amps/volts $300.00
Recol}>)~'e'tf'hm.ly $ 40.00
f I'f/S A . "'l::
Tem~~~~~~ices or Feeders
In~~irQ~~~r ~oration or Relocation
,.q111-fVIIt1~t14 u U~ l.~.-\J
200Yi8@~ C(J;[Yk...s'IJ~fyli 'P/fyS'~ $ 40.00
201 amp's',.q~ ?fOOS2lPp'M~it~fA'3..~' 00
Over 401 to~61k9 'a~At:, c..fjli4/ .lVIDk 00
Over 600 amps ?it. 100~~~/8~v;.... ffiB" above
P'Ofy,vu",
Branch Circuits
$ 85.00
, B.
c.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy /Comm f&: I $ 36.00 31a!!!?
5. SUBTOTAL OF ABOVE 30 em
5% State Surcharge ~ 5;}-
3% Administrative Fee I O~
TOTAL -:2,CJ'. to 0