Loading...
HomeMy WebLinkAboutPermit Electrical 2000-8-30 WED 14:28 FAX 5417263689 CITY OF SPRINGFIELD . . ~h~, following project as su~mitt~d ~a.s the toUowierflllNGFIE.LD . . ~. ~/~S/23100 . ~OOl " C- Oate 'l<" "JO -01)\ J;\urr.o~izect Signature 1$'0 225 FIFTH STREET sPlUllCFIELll, OREGON 97477 INSPECTION REQUBST: 726-3769 OFFICE: 726-3759 1. LOCAnON OF INSTALLATION '3lnG,n (~~0N Sf.. i7031':::>3~' 00/00 U0~~~~~~c\\-\ U{\IOf>. , A. , JOB DEsq:p:fl'ION '1elo~\rnr$ \ R-\a C';>,nlll'<=\. Permits are non-transferable and expire if work is not started vitbin 180 days of issuance or if vork is suspended for 180 days. 2. COllTllACTOR INSTALLATION ONLY ,B. omfl C-A~u/JG f GNfjJM5E.tIN<;; IN(. Blectrical Contractor 0 AddressJj,~03 &f t.P.yv'\F~ . 0" \ 5:>3 'Z'5b Z3'Z. 3 City~,"a ()L PhoneJ'A;' So->,-ZJ"Z-8ZI:!:> Supervisor License Nu:nber /..B1.q /, ~ 'Expiration DIJ[e~-. Constr Contr. Number J.b- 83l.\ t l...E Expiration Date /(;/0 (!of) r , Signature of Supervising Electrician t~(~ , D. Ovners Name ~f) l?tQDUL7'> CffJlI1J1/JIOr{ Address 41'61 E s+ree.+. Ci tl>fN"'iJI~'I,(d f'lr Phone.5fl- PII{ -'i7/"{ Ol/NER INSTALLAnON The installation is being made on property I own vhich is not intended for sale, lease or rent, Owners Signature: ------------~- ------------ OATS: Qe /i Q/ C>O RECEIPT ii ' ~'" (..~ 1l!-.w.",D BY: i"i? I\LECTRICAL l'KRIIIT ,APl'UCATION City Job Number 00 - 0/320 -0\" COHl'LETE FEE SCHEDULE BELOlI 3. Nev Residential-Single or Hulti-Family pe. dvellin~ unit. Service Included: Items 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Kanuf'd Rome, o. , Hodular.Dvelling Service o. Feeder Services o. Feeders Installation, Alterations or Relocationl 200 amps or less 201 .mps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Cost Sum $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders InstalllJtion, Alte.ation or Relocation 200 amps' 'ar less 201 amps to 400 amps Over 401 to 600 amps Over 600 ampS or 1000-vorts Branch Ci rcui ts $,40.00 $ 55.00 $ 80.00 see "B" BDOVe " New, Alte.ation or Extension Per Panel One Circuit Each Addi lional Circuit or with Service or Feeder Permit $ 35.00 $' 2.00 Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighti~ Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 - $ 20.00 - $ 36.00~~ -<0::<> DD ':!'I-1;Z ,fI,.l CJJ '-.I g;;!: :f'" --,r-o CJ) '" OJ .... '":': I """'"4C'lWr......lO rr'!X 00 :::r.:;:I:t>t,...J a .. Z....oNt:.,N om- 00 Cf' rn 0' 0 0"- ........oo~