Loading...
HomeMy WebLinkAboutPermit Electrical 2000-5-26 Buomlllerl MB iM\OIlOwlng prolec\ B,B squirs op..lti. land uae TRANS#: 01-0001933 _ lJul::lb nO f zon.n9 al'" DATE:MAY 26 2000 aWluva', J..1Dr'l::: - AMT- RECD:2 $ 114.40 zoning - u-rJ - CHAt'fGE: Dala _ <S - l.b - ~ ') - ElJ'.&fRICAL PERMIT APPLICATION CASHIER: 059 9747 I 0 s,gnalU1e 726.f<3"1'(]1jza Ci ty Job Number 0 0-O:J;}, c.;'J.-D/ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 3. COHPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home. or Modular 'Dwelling Service or Feeder $ 40.00 1. ~OCATION OF I~STALLArION '600 (.L-1-~) Dr, LEGAL DESCRIPTION _ . \-:}o'2..,~+4 l t'f\.ft~ GatOI JOB DESCRIPTION (, ),' f.' lAC! ~ ~ +==a...JVl~ ~L".J), . 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 B. Services or Feeders Installation, Alterations or Relocation: Electrical Contractor :\)\'Y) t\ 8\eVPl.l(.. Address...J?D. Bo~ 1..\8~ Ci ty Lewd \ ,. ~R Phone 9.5"1-372.-1 (50. oe. :1i ~ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less ~ 201 amps to 400 amps 401 amps to, 600 amps ~ 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Supervi~or License Number 455"45 Expiration Date \t) 101 101 , Temporary Services or Feeders Installation, Alteration or Relocation C. Constr Contr. Number $ 40.00 $ 55.00 $ 80.00 see "B" above 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Expiration Date Signature of Supervising Electrician ::f).. -(V',. D. Branch Circuits -------- .' Owners Name New, Alteration or Extension Per Panel LJ-F~ 6l).:J.-1010 '].,00 Address $ 35.00 One Circuit Each Addit ional Circuit or with Service or Feeder Permit Ci ty 4/1 , oR Phone OVNER INSTALLATION $ 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 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE asO oQ.> 7% State Surcharge - I ::;z....tl:3 3% Administrative Fee (.<0 TOTAL ?.. 7 S. U(l) The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT II: RECEIVED BY: