Loading...
HomeMy WebLinkAboutPermit Electrical 2000-9-6 (2) J &:-.~ . . ?r't' d 225 FIFTH STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 l INSPECTION REQUEST: 726-3769 City Job Number (,)O-0rfJ56- 0 '. OFFICE: 726-3759 1. LOCATION OF INSTALLA:.tIO~ _ r [ 1.//<.fC,- s+:::fr1e(' k,,( 'sr-J. LEGAL DESc;lU;FT.ION JKOZ. c> ==> z ~ (jotf03-, JOB DESCRIPTION 'J.. c...;'-r"o"t'rh 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. 5e-!C .I~".. . ~. ~ L/(....(')~ ~4-5P.e~ / City ~lc.J. Phone Supervisor e Number / Expiration Date Constr Contr. Number ~ Expiration Date / ~ . Signature o'f 7Sing ElectriC~ Owners Name \6'-(, H-e tot~" 0esoJ Lf. ('-l<;' S 450~ rcaJ. ")o.f-1.d ' Phone 7'1/:-75-<67, Address City OWER INSTALLATION The installation is being made on property I .own which is not intended for sale, lease or rent. ::::~~~~--------------- DATE: ~ (!) 906 RECEIPT 11: RECEIVED BY: :1'\1<. 3. COMPLETE FEE SCHEDULE BELOII 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amI's to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above ." New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder'Permit 1 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 n $ 2.00 ":J- not included) $ $ $ $ ,:r .;l.~Cf \ ~ I '10, "to 40.00 40.00 20.00 36.00