HomeMy WebLinkAboutPermit Electrical 2000-5-12
zoning, and does not require specific land use
approval. /Z--
Zoning LV
97fJR'l 5 - ('2.. -<11)
7~i1~signature --1S.....)
.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATIO~
jCJ;3Q ~~IJ LUll
LEG"AJ... DESCRIPTION . )
I \.<\G 30d.~':l., J,>;;;"3(YJ.
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Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Ci ty Euuene
Expiration Date
Constr Contr. Number 65149
Expiration Date
6-28-00
Signw~an
--- -,-..,
a,'ners Name n~.I
Address I '7:3 Cj
Ci ty .:5P.~L\)
L1P-":t;
,--~LM7.d.J.uCU41
Phone 7.:1i.o-9/9-2...
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT ~:
RECEIVED BY:
i...ECTRICAL
City Job Number
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Sum
Items Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
S 50.00
$ 60.00
S100.00
$130.00
$300.00
$ 40.00
200 amps or less ~~O~~~ 40.00
201 amps to 400 ~11!~~"\'\- _,c.~CS 55.00
Over 401 to 600?'limp..~o.\\liI' ,- $ 80.00
f\,\~600S\a.pl~s'C-o~\tOOO ~'8'l:t;" see "B" above
D~~r'a~~~\r,~S~~~f'.~\)O~
'1'~~O~\('....\)O~ 'O\),
mev~~l':a\l\t'eri\-~\On or Extension Per Panel
c,O'!'\\ \) 1>-'(
on~~C\~cuit $ 35.00
Efch Addi tional
Circuit or vith Service
or Feeder Permi t S 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res.
Limited Energy/Comm --L--
B. serv~ces~Jdf~:Feeders
Ins'tal>])~tio'n'~ Alterations
ElectrIcal Contractor_Son I t rol Secur i ty ,o,ot\€R.e;lo<!~t:ion\~u'C
. ~eO' ~ IU"'-O~\-'o -,- u\<jS
. '>'09 "I'''~ ,,'" ,,< 1 .C>
Address P.O. Box 21009 , ,~"'~\) 1>.' ' 200~amp's~or l'ess<
\\o-.t' \V ,. c,el'\.Ol:i\\.\i.Qb~amP:~ \.t'o?,4.90Pamps
Phone 461 '-('56,7,8\0 d.\\;' 0'O\'O'4Q};).am'p,s.. ,t'8\~600 amps
.",. ~~ ,,~. (i\\).~ \\\e60iu~am'~);; to' 1000 amps
Supervisor License Number O~r\ ~oll.~\~r>e cOv"er,.1000 amps/volts
'u- c,'O\\\I\V \01 \'(\~. Reconnec t Only
~e' _"-
.rl\ r
C. Temporary Services or Feeders
Installation, Alteration or Relocation
5.
SUBTOTAL OF ABOVE
,% State Surcharge
3% Administrative Fee
TOTAL
not included;
S 40.00
S 40.00
S 20.00
S 36.00