HomeMy WebLinkAboutPermit Electrical 2000-5-16
.
49
b 00
AMT RECD:2 $ 39.60
CHANGE:
ELECTRICAL PERMIT APPLICATIO'tASHIER: 059'
\;i ty Job Number q q~ (JO 8 ~D-{)/
The following project as submitted has the following
zoning, and does not require specific land use
225 FIITH STREET approval.
SPRINGFIELD, OREGON 97477 ZQIling LT:JiL,
INSPECTION REQUEST: 726-370':1 1'5-1 (, - In
OFFICE: 726-3759 Date
I<lJ 3.
Autnorized Signature
1. LOCATION OF INSTALLATJ;,oN , {J
911.<; IJ/~~A'I g'1~d~ q jJAL-
LEGAL DE PTION
~E.S~;~_ ..1~
Permits are non-tranf{erable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Sonitrol Security or Relocation:
Address P.O. Box 21009
City Euuene
Phone 461 - 5678
Supervisor License Number
Expiration Date
Constr Contr. Number 65149
Expiration Date
6-28-00
Sign~~~~Eiectrician
Ovners Name '{k fA ljJ~~ '
Address 995 ~d~'fC g}
. ,
Ci ty :5t>~U\ Phone~rlj051...
OVNER INSTALLATION
The installation is being made on
property I Gun uhich is not intended
for salE. lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT n:
RECEIVED BY:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
unit,
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
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see IIBI! above
Nev, 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 A80VE
,% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included;
$ 40.00
$ 40.00
S 20.3tQ
$ 36.~~V
~/)i;U f.1 ~
c' _u
'-l DO
:i:O" "1
~~~~o::~
..:z...ol'.)~
ocn- 0-::1
(J'U'T'lo-. 0 ~
o-lJ..oo....o