HomeMy WebLinkAboutPermit Electrical 2000-7-17
~
The tOllowlng project as .
zOning, and does not reSqU~mltted has the tOl/owing
approval. . U1re specific land Use
ZOning (' ()
Date _ . '7 - I..., -:.v
9f}flf1rized Signature ~
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
1.
LOCATION.PI INSTAL~AIJON
11il VY\(I.l.NI 1)
LEGAL DESCRIPTION
17 d '3 35 Lf;J..... oS757J't;
JQ~~ESCRIPTfON ~ '
IN\.AL <;::;tVlQ..e~ <, ~ V\
Permits ~re non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
Expiration Date
Signt"'{re of Supervising Electrician
. \..1. 0 _;;L.L ,
owner~:meJ]~I) ~
Address r10 IY\Jwv\ fr
Ci ty ~~ Phone iZb '(j()~~
OVNER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or ren t.
zrO:~~~Bs Signature:
: 39NllH::J
OS"Sr ! ~"~1~~ 1"';'
~~~~O~~~~;~;----------------------------
RECEIVED BY:
-
ELECTRICAL PERHIT APPLICATION
..ci ty Job Number tro - {)o<g3~- 0 (
3. COHPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
C.
It ems Cas t
Sum
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
(\ C c\ ,.1 'C'l- . Installation, Alterations
Electrical Contractor /~.) 7/ tC1V\ I I!\L/ or Relocation:
Address 00 .;~O{ \ 1.1~ 2 200 amps or less
~ ['I 201 amps to 400 amps
Ci ty :)1'. r / Phone "/l11-22.3~ 401 amps to 600 amps
I 601 am~s to' 1000 amps
Supervi"or License Number llrS' \ S Over 1000 amps/vol ts
Reconnect Only
lD"C'\-OI
':::1-," (,.:~I.(O
Constr Contr. Number 'J) 1
,
q - C I-(~O
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 1,0.00
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
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
.32
$
2.00
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
not included)
$
$
$
$
35,00
'1..4 L,
l'Oc;
'? \? Fin
40.00
40.00
20.00
36.00