HomeMy WebLinkAboutPermit Electrical 2000-02-091
ng does not require speciric lano useapproval
Zoning Lf> rz-
Date a *a
225 FIFTB STREET Authorized Srgnature
SPRINGFTELD, OREGON 9747]
INSPECf,ION REQUEST: 726-3769
OFFICEz 726-3759
CAL PERHIT APPLICATION
Ci ty Job Nurabe. OO-OO t8r0l
COHPLETE FEE SCffiDULE BELOII
Nev Residential-Single orMuIti-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
t hereo f
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
s 40.00
Services or FeedersInstallation, Alterationsor Reloca t ion:
LOCATION OF INSTALLATIONqo86 E C6-zn 4
3
A
,rIINGFIELc,
SUBTOTAL OF ABOVE
%/ State Surcliarge
3Z Admini.strative Fee
TOTAL
DATE:FEE 09 1000
RECD:2 $ 40.70. IHANEE:
EASHIER:059
LEGAI DESCRTPTIONl?-o a 41 L/3 0V
JOB DESCRTPTION
\tt-r>e)tl-t{-, t-o
2. CONTRACTOR INSTALL\TION ONLY
Electrical Contractor ARC EL C INC
Address R57R? t{r^ry oo ]TH
Supervi.sor License Number 40795
Expiration Dare I0/L/01
Constr Contr. Number 2O_4O3C
Expiration Date t0/01 /00
Signa t rv1 t ri cian
Name L*tr<)i^AeA-
Address \O 8 6 G \6# L,-,a
Cicy 6-Z** Phone
OVNER INSTALLATION
The installation is being made onproperty I ovn r,rhich is not intendedfor sa1e, lease or rent.
Ovners Signature:
DATE:
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amps/volrs
-
Reconnect On1y
200 amps''or less
201 amps to 400 amps
-Over 401 to 600 amps
-Over 600 amps or 1000 voITs
Temporary Services or FeedersInstallation, Alteration or Relocation
oO Pt
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
1B0 days.
Sum
$ s0.00
s 60.00
$100.00
s 130. 00
s300.00
s 40.00
$ 40.00
$ ss.00
s 80.00
see trBrt a6ove-
2.
not
40.
40.
20.
36.
ce.
B
C
D. Branch Circui ts
Circuit or vith Serviceor Feeder Permit I $
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $Sign/0ut1ine Lighting- S
Limi ted Energy/Res
-
SLimited Energy/Comm $
New, Alteration or Extension Per Panel
one 1ci rcui t I S 35. oo 55.'€
racd addi tional
o0 ^.*included )
00
E
5
00
00
00
RECEIYED D
e-9*aA