HomeMy WebLinkAboutPermit Electrical 2000-11-2
ubmitted has the following
The tallOwin9 prolect ~s SqUIre specific land use
zoning, and does nO ra .
225 FIFTH STREET approval, jpr I
SPRINGFIELD, OREGON 9747;Joning, U-;:;-rv,
INSPECTION REQUESTi:l t 726-371'0 ",(~
OFFICE: 726-3759 a e 7l'
Authorized Signature - 3.
[,ALLA I
.,
.Jab 1f=/%o'i:Cf .
1. LOCATION
5d8()
LEGAL DES PTION
17022. gOD
6 6l{D I
-,
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number c:P ~olbZI -61
COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
JOB DESCRIPTION (J P400 sq. ft. or less
,I st,f'O-v:.3 -..Q~ eircuN,sto~dOC!.r; . ch addi tional 500
,j( /:JiOkj/..1</O-V c-Irc.u!'t.sw"-- ~tiu\{ (' sq. ft or portion
Permits are non-transferable and expire thereof .
if work is not started wi thin 180 days Each Manuf',d Home, or
of issuance or if work is suspended for Modular 'Dwelling'
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Philios Electri~
Address 1 ?QA Rp,t"yu:!.' J)r;'\Tlo,
Ci ty Eu2'em>
Phone~j hRR-h17~
Supervisor License Number 771q~
Expiration Date 10101/01
B. 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 amps/volts
Reconnect Only
uni t.
Cost
Sum
$ 85.00
$ 15.00
,$ 40.00
$ 50.00'
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
26-34C
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
10-01-01
Signature of superv~'s' g Electrician
<;1 ,
U )l.atnan ym.nps'
Ow~ers Na~e !l:h.rJort') c.;oOr>h. '
AddressC}/320 hdusl7'/al WPJ-
Ci ty Cdu r t?L- Phone 6F b -fOil
O\INER IN~TALLATION
The installation,is being made on
property I own which is not,intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
lID? c-C>
DATE:
RECEIPT #:
RECEIVED BY:
?,b7b
-
.^I\.
200 amps' 'OT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100u volts see "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit / $ 35.00 35- 00
Each Additional
Circuit or with servi~ t,,00
'or Feeder Permit $ 2.00
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
SignJOutline Lighting-----
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge )
3% Administrative Fee
TOTAL
no t included)
$ 40.00
-$ 40. 00
$ 20.00;.,
$ 36.0<.'Ei~::;:j
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