HomeMy WebLinkAboutPermit Electrical 2000-8-7
.1
. ubmiUed has the following
The following prOlect at 5 Suire specific land usa
zOning, and does no req .
approval.. vI> n.-
ZOning
<{,-I-'T1)
. 'ivJ
225 FIFTH STREET
SPRINGFIELD. OREGON 97477
INSPECTION REQUEST: 7:mu'31cl~
OFFICE: 726-3759 Autnonzad Signature
1.
LEGAL DtSCRIPTION
-----4 . r4...~h
(, JOB I}!>SCRIPTION
~ HvA-c
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. ClJtiI{~ ~
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractoi)(1., F:LE CTt2..ic
Address40ld5 11.). {I i::b ~ 19;
Ci ty E.UbJE:N 2" Phone! n ~+ - 51- "1 b
Supervi.sor License Number ,38:J J. ~
Expiration Date 1l)/lJI!lJl
Constr Contr.' Number ,~1-t:::)'i<:+' C...
Expiration Date [D!D/IO()
I
Signatur~o~~ng Ele~rician
Owners time -r;, ",....... (''1<1 ;..f f..
Address '5' ~ ,,"'" ~
City
. Phone...llt:~~o L
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIl>T II:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
r.lty Job Number OQ>-() W1.6-0(
3. COMPLETE FEE SCHEDULE BELO\!
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dwelling
Service or Feeder
.B.
Services or Feeders
Installation. Alterations
or Relocation:
LO~ATION OF INS~ALLATION
'Z'if'l LoeJ::lr.alll!v} Av. A. New Residential-Single or
Multi-Family.per dwelling
~ ~~. Service Included:
Circ.1 ,.-O.:p.:+.~l.{ -:,O~00 Items
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
unit.
Cost Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
S 60.00
$100.00
$130.00
$300.00
S 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
S 55.00
$ 80.00
see "B" above
.'
New. Alteration or Extension Per Panel
One ~Circui t
Each Additional
Circuit or with Service
or' Feeder Permi t
, .
I
Mis6ellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.'
5.
SUBTOTAL OF ABOVE
;,r. State Surcharge
3% Administrative Fee
TOTAL
t
":u: /'
$ 35.00 .LL-
.
$
2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
.,/
;1} .~.;
'). ~...
f Y (()_____
""1/.1"
')1)