HomeMy WebLinkAboutPermit Electrical 2000-1-12
TRANS#:01-0000218
DATE:JAN 12 2QOO
The fOl/owing project as s .
Zonmg, ano does nol reqUUbmrtted ha.s the tol/owing
approval . Ire specifIC land use
ZonlOg-LUr ELECTRICAL PERMIT APPLI@~h~~D:2 $ ~~G~?
974770a1e. /-/(). _ 0() qq 1\ II R'0-2
726-;(,769 w Ci ty Job Number - U" . .)
UlnOr/zeD Signatur % .
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'J. C6I1PY;"''' J::EE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor flullder:s Ele:::h)'c.
AddressJq5 Ivhd,'sc:(l
Ci ty 6lJ~eV'1e Phone 4<ns -09 Zz.
Supervisor License Number 2.Cj10-S
Expiration Date JO-{- 0 I
Constr Cont.. Number 47-9 (p
Expiration DateJ1_ -/0.00
Signature of Supervising Electrician
- ~~p~
O,mers N~me /1r)~ Silt I(!.('n
Add~,sJ211l~ l-tef1;J Ir\lJn,
Cit~~e '
OllNER INSTALLATION
The installation is being made on
property I o~n ~hi~~ is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT It:
RECEIVED BY:
. A. Ne~ Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
, Each addi tional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder ,$ 40.00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
B. Services or Feeders
Installation, Alterations
Inc.. 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
$ 40.00
$ 55.00
$ 80.00
volts ~ee "B" above
Nev, Alteration or Extension Per Panel
One Circui t )
Each Addi tional
Circuit or ~ith Service
or Feeder Permit I
$ 35.00 .{t),QO
$ 2.00 '); 0 0
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
],1.00
-1,.......~
Llb,II
- .-''-0-
40.00
40.00
20.00
36.00