HomeMy WebLinkAboutPermit Electrical 2000-7-12
The fOI/Owin .
zoning, and ~~rOJect as SUbmtt(~~W (;
approval. es not require s ,a,S the fOl/owing
peclf,C land use
Zoning _' c... c......--
Date -
225 FIFTH STREET, - (L-o--jl ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON~~'Fi'TZfid SIgnature
INSPECTION REQUEST: 726-3769 Ci ty Job Number 00 --0 (0 8'3 ~ 0 I
OFFICE: 726-3759
3. COMPLETE FEE SCHEDULE BELO\l
1irJ~~0~ ~mLA~~~ NfYJf'l
~GAL DES~PTION
'/70 ? 2-'800 00<.( 0 I
JOB DESoq:PTIO~ I b ,1000 sq. ft. or less
t!< (1./ rf'.Urts --+Oy trirvxi~ oO-K-SEach additional.500
, , sq. ft or portlon
Permits are non-transfe ble and expire thereof
if work is not started within 180 days' Each Manuf'd Home. or
of issuance or if work is suspended for Modular 'Dwelling'
180 days. Service or Feeder
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor..l'hilins Electric. Inc.
Address 1?QR "Rpt-hpl nr;ut='
Ci ty Eu"ene
Phone(~t.l1 f,RiHi121
Supervisor License Number ?71Qq
Expiration Date 10101/01
Sum
It ems Cos t
B.
Services or Feeders
Installation, Alterations
or Relocation:
'C
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
$ 85.00
$ 15.00
,$ 40.00
$ 50.00 '
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 20-17q~
Expiration Date 10/01/00
Si,gnature of ~rvising Electrician
~ ~....A?_
,,-VL (J Nl}l11an l:'tu,+1pS' D.
Owners Narrte 1/ 1Dr10{'J) r...:..n{J{'Jkl
Addres~}2j1:,(() .1hdL/~Ir-ia.,1 fA)~
City (l{)bura. Phone_6'p./..,..Rol r/
O\INER INS1f/;.LATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
owners Signature:
-----------------T---~-----------------
DATE: 0 tfr ~/OO '
RECEIPT jI: . --ZS3 S '
RECEIVED BY: 0, /'2
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit /
Each Additional
Circuit or with Service/
'or Feeder Permit /
E.
5.
SUBTOTAL OF AIlOVE >
7% State Surcharge
3% Administrative Fee
TOTAL
$35.00 3500
$ 2.00 ~, 00
no t included)
$ 40.00
-$ 40.00
$ 20.0UD
$ 36.0~"",;:;
~~
3 ""J oClfg --l :z:
/r C':l~~
_":$ !t>-' G-t':' c! 0
'-'.. f'VI I--'-
:x: , I
~v~i:"'C)
_ 'n _, ..JO
..............p. 0
. .... zOr-.J1'.)
ocn. OLn
O"--rrl-Jou
............0000