HomeMy WebLinkAboutPermit Electrical 2000-4-19
.
93
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b med has the following AMT RECD: 2 $ 39. 60
The lollowlng prolect ~s su UI~ speCIfiC land use CHANGE:
225 FIFTH STREET zOning, and does no re~ (l . ELECTRICAL PERMIT APPLICATIONCASHIER:059
SPRINGFIELD, OREGON 974rf'!oval. ~
INSPECTION REQUEST: 726_376,onlng ~_I "i - (17) t;;j.ty Job Number t:jq-O/ b()(j ~O~
OFFICE: 726-3759 Date ' \
~ .,~ :gMFheT~ FEE SCHEDULE BELOV
~. 0 Signature ~
1. LOCATION Of INSTALlIA'l'T()NV
,3(/J0 n &1a-htJ~f. si
LEGAL DESCRIPTION
&::n D{2CRIfION .t. ' .L '
. '{I& tH1 ../'nAJ~
Permits are non-transferable ~d expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
A.
Ne~ Residential-Single or
Multi-Family per d~elling
Service Included:
uni t.
It ems
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular D~elling
Service or Feeder
$ 85.00
$ 15,00
$ 40,00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son i t rol Secur i ty or Relocation:
Signature of Supervising Elect&\tj~
~ /..--:7 _ .-:i'.'11 lies..
~~.''7;SPt:: .
, 7. _./1./) 'iurl-JD';" JVljrS/-tD. Branch Circui ts
O....ners Name~.l' YA~ t!~4JI~1Q.U'.4L.L.12)rr.
. /!,1\J","VIC:I'yC€ vlVDl2fY 'N#R.f'/,kl tera tion or Extension Per Panel
Address ..310(" /) di~W.Jh'/-!A'!.!.fi.rB:., DOfY1S rIiISpF";;:,.:!tI2IA'^
- 0' -'"tYPe. .<I8"VQp,e...."tl}/rJi't'-ifYl(
Ci ty .$'P..fLJ) Phone 71/1/-'1;'0/1100 Eael)~dd{~A.~l}al
. CircWfb~r ~ith Service
or Feeder Permit
Address P.O. Box 21009
Ci ty Euuene
Phone 461-5678
Supervisor License Number
Expiration Date
Cons tr Con tr. Number 65149
Expiration Date
6-28-00
OVNER INSTALLATION
The installation is being made on
property I o....n ....hich is not intended
for sale. lease or ren t.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT ~:
RECEIVED BY:
~(),Q ampg or less $ 50.00
2 W?q,m~s....~to,. 400 amps S 60.00
rq ~~ i!"(ii.~gf'..;~~J;990"e~Ps $100,00
IOO?";)!1 ~a"IIJP'.s'~~oil;~00.0a}~,mps... $130,00
lJoJ ,0~'&J 000&.",111 ps't ~o J:ts~1 ._ v $ 300 . 00
'11/1,'F:eC;9[}n'et.!}(/ORpYII(JJ ""/Jeo ",. -, '&0411$ 40.00
. ,'f) /JO'" 8&/f/' UII/JO ao 'fh ,. ulJ 1,-
. " v.,,_" &-" (n,., "'41 -. 111e...,
C. ""Tempora~'J) Ses.vlcesQor 'Feeders
Ins t1{l"'la1i'6"n}iJil.i:e~'{tf6n~.9~(Reloca t ion
", I."" aOO/? v 'JOI/&' '0 I
, ' 5'&,' OIJ/>
200 amps or less , ,11J""n, ,0, S 40,00
201 amps to 400 amps'~, "", $ 55,00
Over 401 to 600 amps $ 80,00
Over 600 amps or 1000 volts see ~B. above
S 35.00
s
2,00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20,00
Limi ted Energy/Comm i S 36,00 3G,.Qp
5. SUBTOTAL OF ABOVE
1~% State Surcharge
3% Administrative Fee
TOTAL
3",f\(J
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