HomeMy WebLinkAboutPermit Electrical 2000-06-19C'TV OF
approval
225 FITTB STREET
SPRINGFIELD, OREGON 9P4t}
The tollowing proiect as submitted has the lollowing
,lr^iits,l"d"ioei not require specific land use
SFq$'GFIELD
1? 1000
Ri.1T FIEID:Z $ 3E.50.
[HAI'.IEE:
cAL PERHTT APPLrcArrffisHI[R:oo1
Sum
on
a566
el
A>YL-
Zoning
1. LOCATION OF TNSTALLATIONb
PTION
t?o ot4
JOB DESCRIPTION
/-l u,Lr
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days. AO37L
2. CONTRACTOR INSTALI.ATION ONLY B
Electrical Contractor
INSPECf,I0N REQIEST:. Affiatffi6$isnatureOFPICE: 726-3759
Address l+oCq W, I ib *tK
Ci ty Phone e gZ5 Z*tO
Supe rvisor License Number q*1A q
Expiration Date 0\
Constr Contr. Number
Expi ion Date
Signa t sing
PLllns /80
ty Job Nunber
COMPLETE FEE SCEEDTIIJ BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'<i Home. or
-Modular 'DvelIing
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterationsor Relocation:
*@@
c
ci
or
E. Mis
0ne it
or Extensio
,L
Service
$ 3s.oo 3r
3
A
200
201
amps
amps
r
o
o
t 00
00
00
00
00
00
$s0
$oo
$100
S130
$300
$ao
s
amps
ses
00
I
4
Reloca t i
$ 40.00
$ ss.00
$ 80.00
see ilBr
401 amps to 600 amps _601 amps to L000 amps_
Over L000 amps/volts
Reconnect Only _-:--
Temporary Services or Feeder
Installation, Alteration or
200 amps'"or less
201 amps to 4OO amps
-Over 401 to 600 amps
0ver 600 amps or 1000-Til[s
1cur1 t
PanPern
s
on
Address )arn€
,-EF/oD.
Phonea4| >413rl
0wners
ci
OIINER INSTALT,,ATION
The installation is being made on
property I ovn vhibh is not intended
for sa1e, Iease or rent.
0rners Signature:
DATE:
Feeder Permit $ 2.00
CeI Ianeous (Service/feeder not included)
1
Addi tionalit or vith
-Each installation
Pump or irrigation
sign/ou tline Lightine-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
J7" State Surcharge
3Z administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5
RECEIVED BI:
DATE:
KtsUEITT fr
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