HomeMy WebLinkAboutPermit Electrical 2000-10-2
. . ubmitted has the following
The following project as s , specific land use
o and does not reqUIre
225 FIFTB STREET ZOning, ELECTRICAL PRRllIT APPLICATION
SPRINGFIELD, OREGON 97tP'f~roval. r p
INSPECTION REQUEST: 726-376ionln9'1l' i- ()Q
OFFICE: 726-3759 Date v v I
ohJl1 .
1. LOCATION OF INSTALI"fl'jtffilted Signature
3sz...cr ~V>4",\C/,::" 15/111 . A.
LEGAL DESCRIPTION
1703slfYS
00100
, JOB DESCRIPTIOP
5e<2.v'c.e--:;;t /0 C, ~,"f"""...
Permits are no~trans~erable and expire
if york is not started vithin 180 days'
of issuance or if york is suspended for
180 days.
.'
2.' CONTRACTOR INSTALLATION ONLY .B.
Electrical contractorjvc f! k~~_
Address 9. 578' 3 J-!.u;..; CJ q _ <;
, f ., .
Ci ty &11 Jof!).€-- Phone -'7<./1- 0 fIkly
Supervi"nr License Number 71-07'9'5
Expiratiol). Date ID-o/-o/
Constr Contr. Number-.;2D-:?-"o3'C
Address
3331
~/i!cL
7Z.6, ~7,!'62...
Ci ty ~ r t-v'o. ("~ Phone
/
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or,rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPTli :
RECEIVED BY:
/002-0-0
>::-'1>
i?lf(
Ci.ty Job NumberCO-oo5:""6 <:::>/
r~u"'~c: FEE SCHEDULE BELOY
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
uni t.
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. f t or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder ,$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 ampsfvolts
Reconnect Only
( S 50. 00 ~-c::,
$60.00
$100.00
$130.00
$300.00
S 40.00
C.
Temporary Services or Feeders
.Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One \(;ircui t $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit / D $ 2.00 2..c~
E.
Miscellaneous (Service/feeder
-Each installation
Pump oi irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
$ 40.00
$ 4~ 00-1
$ 2cr'.~
S 3~~
C":I .. '**
55 ~ C;
-T - a:.>'..=irr
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!,j.l53~I'-J~-
.~~ I'-JW
~ I'ft'- 8 ~
...........oOr;....J
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL