HomeMy WebLinkAboutPermit Electrical 2000-9-25
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DATE:SEP 25 2000
ANT RECD:2 $ 55.0C
CHANGE:
CASHIER: 059
E~CfRICAL PERMIT APPLICATION
City J"'ob Number OO-O/l.{'1()-8(
The following project as submitted h~~ the following
l.tlr,mg, a.nd does not require specIfic land use
approval. (l.
225 FIITH STREET Zoning ~ .
SPRINGFIELD, OREGON 97477 ._. q - 2~. o-U\
INSPECTION REQUEST: 726-3769" ~
OFFICE: 726-3759 ,<,,:,,".,,"0 Signalure_
3. COMPLETE FEE SCHEDULE BELOY
1.
LOCATION 9f/ INSTALLA~ . /? /
30'72.. ~1.2&"^' 1:f.f1L."'~ ~ . A.
LEGAL DESCRIPTION
~
-R JOB DESCRIPTION . / - A () :r
~ff}.a- fJ(V D~ t1lbP_f:tWJ~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
.1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder .$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
~_ ~ ~ Installation, Alterations
Electrical Contractor/:: S" cllt..,./~~ <)~u-e.f,or Relocation:
Address.OO.tf"Y :2.~y.Jj' 200 amps or less --'-'-- $ 50.00
I"' . 2Qll.le!l!P.~v'\0 400 amps $ 60.00
CitY~/r&-p Phone~/~/f/' f4iilhv.ilIJl.Pk td~60.o:a[lP.s_. $100.00
d J\Jcf!f/ib.ftIPRt;tJ)bTmlQtb}~B-" ~~ )''-$130.00
Supervisor License Number 3 f/y)S il1~Y,'ff !,p'utJ3ra'Jilp~!rl{9.,~~s \... "'~UIIUSrJ.QO.OO
OoMc9~il~'<9f)1ffnJb{) throug~~" dre se~M.9' 00 _
Expiration Date /0,// I (j~ c::.1iio oa~hrr;.aYObta;flcol2;e,,::~H952-001.
c. 11 TI!fi\1' I'a<rlle~t~;1i.'iNDjrpI' ll!ee4!l1$ bl.
Constr Contr. Number 7 ()(h( /" " ljIHYllli.itWIli~mti9~i1~!,~ei'OQjp?;Ii:lr~ei~cation
...., Centeri<: i QI"\,,11 fl/ltYNotificar
200 amps' 'or less1:?:?'::>3d.d1 '~n40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600. amps or 1000 volts see "B" above
Expiration Date /2/ 3')/ ocJ
Signature of Supervising Electrician
. --<;~ ~ AJI.--
ow~.Jrs Namn~ ~r ~Loe;~
Address 30 n. . ~AJ If/J.~~
- ,
Ci ty ~ Phone ?.J.I,.375 7
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: /';)5.00>'
RECEIPT II: "1 ::>.q"3
RECEIVED BY: t.u!\
. D. Branch Circui ts
NOT/f"F.'
New, A~teration or Extension Per Panel
IHISPERMITSHA . .
10ne;.9i-r-cui t LL EXPIAE II=Tu... W$ 35.00
C&"f,Vij:.*~Yt ~811'~lq THIS PF.Rft'- ORK
ANS~ rC~1.toroVF,"I5 ~c{!lsTrVl ce11T IS NOT
0~8Ee.~?'~ERR5B.l t f,DONEDI=0R$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
.'
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
7% State Sur~harge
3% Administrative Fee.
TOTAL
50
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