HomeMy WebLinkAboutPermit Electrical 2000-5-23
.
. submitted has the following
The tollowing prOleet as uire spaciiic land use
',ng and does not req
zon '
approval. L- i> ft.-/
Zoning - .
97'tJJ.e ? - ;;>- '? ~
726-3769. - ~
Authorized Slgnatur-
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
L
LOCATION OF ~NSTALLATION
L..J),I././ J:;ol\p ~L. J"'j
J,.EGAL DESCRIPTION 0 (') /\/\ ,
{X()..:z Qc,':;;"'z,.( ''1 c..;<L-I
. JOB DESCRIPTION
. Address
City Phone
OVNER INSTALLATION
The installation is being made on
. property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
"
~CTRICAL PERMIT APPLICATION
"ity Job Number ()O-'O{XY?1~O I
3. COMPLETE FEE SCHEDULE BELO\l
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
unit.
Cost Sum
$ 85.00 155
$ 15.00 50
.$ 40.00
Items
I
I)--
200 amps or less $ 50.00
201 amps to 400 amps ~11\y.S 60.00
401 amps to. 600 amp~~ ,$~OO.OO
601 amps to 1000~al!!Ps~~~130.00
Over ~1000 amR-s:..lf?d]\~G~.()11\$300. 00
~d'~~;~~lS~~~t11\~~ov.\~\)\ $ 40.00
C. \:Pifmpo);~ws~~",t<!'eS or Feeders
~~~t~i[~i~~~~6teration or Relocation
. 2(j61~~~~~?less $ 40.00
20~~~mps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
, ..
. -' 0\\"
1000 sq';,f tf or "less
.Each~'a'd&Yt i oO'a1\i500
"""... ,It.~ ',"l'r~.'
. ~ecsq.,.f't or~\port1on
Permi ts .are non-transferable and expirep'~ ~60~\ \th:~k~_o:f"~. ;,,' ..,.,\,t
if york is not started vi thin 180 ~ays.}\':\,el'\ \&acli_IJ:I$'nt!f',d\.I!~e,!!)('or
of issuance or if york is suspendea~forJ\ \\~".\ ,Modular\Dve:J.'l'ing
180 days. ,n\\ \~~ '?J-:,'2.-(i'~~ O~~e6i\j'c~~o\( Feeder
.Or ~O\l r_C,'o"'o.e9,o\' ,.-'
9\J ~Y"\~',~ '
2. CONTRACTOR INSTALLATION ONLY ,IJ a.\\\\\9'B.\\'I'Servfces or Feeders
Evcy1)a.,y. E _ G ",\\~e~.~, Installation, Alterations
Electrical Contractor G'{f'(~ ~('I)l~.Jllc.or Relocation:
Address "3 ~,,'3 'PlWlo, ('cOurt
Ci ty EUf-,[}JF PhoneJ..()'l- {.,qo~
Supervisor License Number 1./~6~ S
Expiration Date /0/01101
( I
Constr Contr. Number /3630/
Expiration Date O'?1t2/0J
.
Signature of Supervising Electrician
1/cw1\l ;;! tk:t~2lE
I
Ovners Name
.'
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.0~
$ 40.0lt< .....
c;s
$ 20.0m:!:>:!:>
1 ;c
.$ 36.0Q':"~
C':I ..:x..
I)~ N~f3:
-j:::;C")-. f'o..J6
,.321 UO
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