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: