HomeMy WebLinkAboutPermit Electrical 2000-11-09CITY OF
225 FIFTE STREET
SPRINGFIELD, OREGON 974I*te
approval
Zoning
7 2 6r,i7o69",i s isnat u re
The following proiect as submitted has'
,oni"j anO-Ooei not require specilic
the
land use
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home- or
Modular Dvelling
Service or Feeder
-Q
Job Nunber
3. COHPTETE FEE SCEEDUI^E BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
CAI PERHIT APPTICATION
Items Cost
s 8s.00
INSPECTION REQIIEST:
OFPICE: 726-3759
1. LOCATION OF TNST ALI*ATION
).3S++\-s
iJGAL DESCRIPTION
l1o 3tz I o2600
JOB DESCRIPTION
tre-Ur_r--S - S.crrlrCea tE, 5,D C.r-zr.,Z.-.
Permits are ncn-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
L80 days.
2. CONTRACTOR INSTAII.T'TTON ONLY
Electrical Contracto
Services or Feeders
Installation, Alterations
or Relocation:
2oo amps or less eJ $ sO.oo t_f
201 amps to 400 amps
-
$ 60.00
401 ambs to 6oo amps
-
$Loo.0o
601 amps to looo amps- $13o.oo
-
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
20L amps to 4OO amps
-0ver 401 to 600 amps
over 600 amps or fbOO-volTs
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit"- dA- $ 2.oo LIO""
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/0utline Lighting-
Limited Energy/Res
Limited EnergY/Comm
h"
B.
c.
Sum
s 1s.00
$ 40.00
40.00
55. O0
80.00
ee uBr a56?E-
Address A5R*?
cit ton"[$S_lJoL
JUPervi.So License Number I s
Expiration Date lO -O I - Ol
Constr Contr. Number JXlb
Expiration Date ID -Ol -@
S ture of Supervising Electrician
Ovners Name-'
Address <o uJ*t ZsrA
Ci E*Phone 3qS'\ 670
OVNER INSTATLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
$
$
$
s
D
E
$ 40.00
s 40.00
$ 20.00
$ 36.00
.T
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F"r qfJ C)Ln r:}+\ l.J L.l' (3.*jI
13 (3tn*o,Bfj}fi'.u
DATE:It
5. SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTALRECETYED
o7 Cr
I
co-o i6st-^o I
A-'*