HomeMy WebLinkAboutPermit Electrical 2000-2-8
. bmined haS the tollowing
,.he following proJect 85 SU ire specific land use
zoning. and does not requ
225 FIFTH STREET approval v~
SPRINGFIELD, OREGON 97477Zoning- .
. INSPECTION REQUEST: 726-3769 1,- q ~o \
OFFICE: 726-3759 Date. -=-K..J
Authorizeo SlgnallJ1c 3.
1. LOCATION OF INSTAL~'J1ION
\'570 I AU~ l\- ':'n-. A.
LEGAL DESCRIPTION'
17tJ"?. ~74 (
04700
JOB DESCRIPTION
Hu........s(~ l,j,Q.,:V(T"'"
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 ~.".H II K..~
\
1-' '-~~'Address~\"'ct._~",;_.It.~ "iq..t
i' City~,\ Phone II-.n -717'(
. .
Supervisor License Number . Lfl?J ~
Expiration Date '.JOnOI-C\
Constr Contr. Number_70 -4!:LZC
4
D t.. u1
AMT.RECD:2 $ 154.00
CHANGE:
CASHIER: Q59
ELECTRICAL PERMIT .APPLICATION
. City Job NumberOO - o/bb3 """Of
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni to
Items Cost
1000 sq. ft. or less , $ 85.00 2,5 ~'"O
Each additional 500
sq. ft or port~on \ \5~
thereof $ 15.00
Each Manuf'd Home. or
. Modular Dwelling
Service or Feeder .$ 4'0.00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100U volts
D.
Branch Circui ts".
'~ .,)
New, Alteration or"Extension
.._ . _ .....".;..uion
One CircuJ. ;-'..,}. .
Each Addi tional
Circuit or with Service
or Feeder Permit
.B.. _ Services or Feeders
:rnstallation, Alterations
...,.. . ". ,_:oL,Relocation:
"'. '-. .,./yc-,.
.'1 ~ ,_'r, . o,J1i4L! r:"r'H__ .
..... ,,200 :amps~oLC:less' I::"... .,...... _.$..50.00, .
-.....,,_,;., -,.., w r~
. 201. amps.'.to ~400.amp's'~ "'Uf1:( $ 60.00
401 amps'. to. 60'0 amps- Ic:;M...... $100.00
'~-60l. aDlPs to 1000~aIllPs.~ . $130.00
Over 1000.Jamps/vol ts .., $300.00
Reconnect Only $ 40.00
I .. _"'. I
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
, r, - 01 -nl
Signature of Supervising Electrici~
~- Jr 8..-.yd1f
Owners Naml/ 11/Afl.o~~ 1Jf6.f.
v
~ c;. t-
Address
(/")"3:,
c..,. J:> 1= '"
Phone
7Yb - 77'57
City
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 02- g- -01
t"""J>.lPT If: s-j~ 0'1
. RECEIVED BY: I,J}:::.
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
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
Per Panel
$ 35.00
$' 2.00
not included)
$
$
$
$ 36.00
\00,00
40.00
40.00
20.00
t. "u--:-
FJ"