HomeMy WebLinkAboutPermit Electrical 2000-6-12
The following project es submitted has the following
Ll.'l)lng, and does not require specIfic land use
81J1ilOval. ~
Zoning
225 FIFTH STREET &v/,;}-#;
SPRINGFIELD, OREGON 97~7'1 ~
INSPECTION REQUEST: 72.6.k3i7Dll Signature
OFFICE: 726-3759
.
Ie
1. LOCATION OF INSTALLATION .
L.i+t1i ii..._::lWJof1L '-'blo"? tJ.t11 AA ,
I 7 LEGAL DE~PTION 7..... \
o S. .~ ~ '-Il 0 / v v
JOB DESCRIPTION
--rIA f-.h Pl ) j ~H pnll',
Permits are non-transferable and expire
if work is not started wi thin 180 days.
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~ ~L1
ddress11) ~ 4'62--- .
Ci tGmdiiN1 U+:J . Phonel11~ -It)lJ-1-"
Supervisor License Number ~~~
Expiration Date Ib"" OJ -0 I
Constr Cantr. Number ~~ /r;?;J&
~OI-lJo .
Signature ,0,
rVi~an",-,_
""
Ovners. Na(({' ,
~
Address ':I:vJ ~hw;,...' 975
City ~",(f,i,., t''?' Phane .'77~'
OVNER INSTALLATION
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The installatian is being made an
property I 'avn vhich is nat intended
.. far sale, lease ar rent.,
~ers Signature:
iiATE~-0;=7):::Z5lY~ .
RECEtPT 11: ;:) 1/i1
RECEIVED BY:/): Chada
~
SPRINGFIELD
.... 15
00
AMT RECD:2 $ .00
CHANGE:
CASHIER: 011
EI..ECTRICAL PERMIT APPLICATION
Jity Jab Num~3 -0 L
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single ar
Multi-Family per dwelling unit.
Service Included:
It ems Cas t
Sum
1000 sq.ft. ar less
Each additional 500
sq. ft ar partian
thereaf
Each'Manuf'd Hame.or
Madular 'Dwelling
Service o.r Feeder
$ 85.00
$ 15.00
. $ 40.00
,B. Services. o.r Feeders
Installatian, Alteratians
or Relocation:
200 amps ar less
201 amps to. 400 amps
401 amps to., 600 amps
601. amps to. 1000 amps
Over 1000 amps/valts
Recannect Only
$ 50.00.
$ 60.00
$100.00
$130.00
$300.00
$, 40.00
C. Temparary Servlces ar Feeders
Installatian, Alteratian or Relacatian
200 amps' 'or less
201 amps to. 400 amps
, 'w,. '.. Ov,er ..401, .to...600 ,amps
Over 600.amps or 100v valts
$ 40.00
$ 55.00
$ 80.00
see "B" abave '
D. Branch Circuits
"
, I
'. '
Nev, Alteratian o.r Extension Per Panel
One Circuit
Each Additio.nal
Circuit ar with Service
ar Feeder Per~it
$ 35.00
$ 2.00
E. Miscellaneaus (Service/feeder nat included)
-Each installatian (J)
Pump ar frrigation '$40.00
Sign/Outline Lighti g $ 40.00 ~
Limi ted' Energy/Res $ 20.00 ,.,
Limited Energy/Camm $ 36.00
5. SUBTOTAL OF ABOVE 4n~
1% State Surcharge .;),.lJ'-
% Administrative Fee I.~K
TOTAL L/L/ ~