HomeMy WebLinkAboutPermit Electrical 2000-1-12
Th~ j " .
'. :"l! C'lWlf1g rr(liect as subm
l(, ,.t'l. urlO O(J&f:, no' ra ftted has the 'Ollowing
8f./P:(Jvai I qUire specific land use
Zoning (l f' J
/-/2 -~ )
cKM/
~:- l-~E FEE SCHEDULE BE1.011
225 FIFTH STREET
SPRINGFIELD, OREGON 9741~ _
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 "Ulnun.ea Signature.
1. LOCATION OF INSTALLATION fV1. ~ ...
/' ~ . {l4ltllv .S+: .' W~
LEGAL DESCRIPTION
/10? 5,? 7; ( ,O'1J-.rZ)
A JOB DESCRIPTIQN
LA- IZIY\;; 'r'sferY"l
. A.
Permits are non-transferable and expire
if york is ~ot started vithin 180,days
of issQance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor !;r;'-<<~Ih. dUlIl/f\. Coa.f'
Address,.) /7 t0A,'rJ <;f 5' tE
City;1L8ArV--t Phone 5'-/f- C7~9,."01'f
I .
Supervisor License Number do 71 J L~
Expiration Date /0- C) I
Constr Contr. Number 'fD ~'1 /
Expiration Date q- OD
. Signature of Supervising Electrician
- .~ .-/
~~ ----.--=
r.;:::?
Owers Name 5r(:{\\.{:;~
Address
D.
5"k-o....Q ~:s r-
City
Phone
O\INER INSTALLATION
The installation is being made on .
property I ovn vhich is not intended
for' sale, lease or rent.
. I"' , ,
Owers Signature: .
---------------------------------------
. .
DATE:
RECEIPT ~:
RECEIVED BY:
TRANS#:01-0000214
DATE:JAN 12 2000
AMT RECD:2 $ 39.6G
ELECTRICAL PERMIT APPUCATION CHANGE:
, .' CASHIER: 032
~ity Job NWllber . rn -ll7rD '51 - 0 I
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd' Bome.or
Hodular."Dvelling .
Service or 'Feeder
S 85.00
$ 15.00
. $ 40.00
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
$ 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
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "Bit above
"
Nev, Alteration' or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permi.t
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder not include~)
-Each installation
Pump or irrigation .
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36.00
5,
$
$
$
--1- $
'3&,~
.;1.; f>:;J.
, .013
':?'j. ~r?
-
~u.(Jr::
SUBTOTAL OF ABOVE
'l'bSta te Surcharge
37. Administrative Fee
TOTAL