HomeMy WebLinkAboutPermit Electrical 2000-1-27
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DATE:JAN 27 2000
AMT RECD:2 $ 114.00
CHANGE:
CASHIER: 032
ELECTRICAL PERMIT APPLICATION
City Job Number n> - o-u-u ~ 4-'0 I
The following project es submitted has the following
zoning, and does not require specific land use
approval.
Zoning
9Jitn /-;)..., - 0-0
726-3769 ~
Autnonzed Signature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
(l G....----
1.
LOCATION OF INSTALLATION
/006 HA:i'UOW IWA-D
LEGAL DESCRIPTION
II 0 ~ "2.-2. 00
-
() ~ ~o'.::> .
JOB DESCRIPTION
tv.lrtl. 5/ €W.J @. /..t~T'tB/I-fJ/<-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. .
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor e,S-rA,TNc;.
Address I:J./O O/t-/C.P/HW JeJ:>.
Ci ty e{)Gt'eiJG Phone
Supervisor License Number 1305/ G-
Expiration Date
(17-/- Qa
Constr Contr. NumbeL- OZO--d-.sse-w
Expiration Date
/0 - / - 00
Sign~5e of Supervising Electrician
I' J:~Ar:.- ~
Owner~ Name~~_ ~
Address ?,s-;- G-n&.?,"-l--v- \..l~ ez
City)'.\U'(...,<..R.... Phone 1o'!,1-,4~3t
. t.>
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Ovners Signature:
DATE~-------I-:~~~Gr1)---------------
RECEIPT #: '~'g c(
RECEIVED BY: +1")
3. COMPLETE FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
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:
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
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see IIBIl above .
D. Branch Circuits
.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting~
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL.OF ABOVE
7 ~ State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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