HomeMy WebLinkAboutPermit Electrical 2000-12-5
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ZO~in~ IO;:~gd~~!e~ot taB su~mitted ha~ the following
.. ~,..:Jv It ,;--1 approv'al. require specific land use
" ,_ 225 FIFTH STREET Zoning t..1., " ELECTRICAL PERMIT APPLICATION
'SPRINGFIELD, OREGONOii,477 I '2.~S'''<1l>
INSPECTION REQUEST: 726-3769 .. . I Ci ty Job NumbermClI7E:(J -0 \
OFFICE: 726-3759 Aulhonzed Signature ~ 1
3, COMPLETE FEE SCHEDULE BELOII
1, LOCATION OF INSTALLATION
500 Intulf)Qhnna I ltJa \J
)
A, Ney Residential-Single or
Multi-Family per dyelling unit,
Service Included:
B ~S,('\"".",~. F d
. I' e~v~ces or ee ers
TIns t:a.Ha't-i,onAI,Al.te ra.t ionsEWORK
()r'-'ReroV~lat"'iron:L..C^r-lnCU"IM
AUTHORIZED UNDER THIS PERMIT IS NOT
(2_Q9iV.~lJlR;;.::190F+~~,~3ANDC""::r' "Or,$ 50,00
A7,0) ,\\"P,~ LO", 4,09 amps $ 60.00
4011!<am'ps.Y to-1'600)'amps $100.00
601 amps to 1000 amps $130,00
Over 1000 ampslvolts $300,00
Reconnect Only $ 40.00
LEGAL DESCRIPTION
11 03 IS U 0 0C\(",CJl)
JOB DESCRIPTION
iV\5to" rCTV
pe~~,i1t~I..~r$.\DQn:}.ral1s'fer,~ble, ,and expire
i fI0~I~v~nt:~fQ}2jbr-~it8!H~,qe ~i:Hl~n L1'.80. days
of lssuance. or, If-.vork 1S' suspended for
1\'''\Il"c:-tItUllvE:i11l31 IIIU":'~IUI\"': _1_' ...~ ....
li~OO~'F{ 952-001-0010 through OAR 952-00
009" '\1.. .1--...... ;,1;.....;... .....,.."';r.-r.....f -the ("IOs b
2. CONTRACTOR INSTlillI::ATION ONLY .
callillg the center. (NOla: .{~a lele.~nOl~e
El .. ,',,~. -"'.."" "-'\,1>, '1~I'f''''atl~r
eCitM1ca'J.)I"ont,r,ac,IOr-'Sfl,I}'j t rn'l Secur; ty
r-.......t.~.... ' ~"'.) ....,.)..J'.~l.Q.l
,I Address P,O. Box 21009
Ci ty Euuene
Phone 461 - 5678
Supervisor License Number Il,q,q /2r=.t
Expiration Dale jU-I-o:l-.
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Items Cost
Sum
$ 85,00
$ 15,00
$ 40.00
Constr Contr. Number 65149
C. Temporary Services or Feeders
.Installation, Alteration or Relocation
Expiration Date
6-28-oQ--
Si~ature of Supervising Electrician
~~
OlJners Name ShorewOfX\. j?ac~~
Address_ ~(){) TV\te.vV\af-,tWlnl W:ul
r
Ci ty c::,rllr~lfe(sLPhone i47-Clu){)
OVNER INSTALLATION
The installation is being made on
property I OlJn lJhich is not intended
for sale. lease or rent,
Qvners Signature:
~~ ~~ ~ -1-5::::' -65' -~-~-ifiSO-----------
RECEIPT #: l -{UlnLJ
RECEIVED BY: n, rv'w (,,",CUi...--')
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D,
Branch Circuits
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each p.ddi t ional
Circuit or yith Service
or Feeder Permit
$ 40.00
S 55.00
$ 80.00
volts see liB" above
$ 2,00
not included:
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limit~d Energy/Comm
E,
5, SUBTOTAL OF ABOVE
'X StBte Surcharge
3% Administrative Fee
TOTAL
S 40,00
S 40,00
S 20.00
$ 36.00
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