HomeMy WebLinkAboutPermit Electrical 2000-09-25The toltow,r propct as submilted has the
Date q-s 6b
Authorizecj Signature
225 FIYTE STREET
SPRTNGFTELD, OREGON 97477
INSPECTION REQIBSTz 726-3769
OFPICE: 726-3759
1. LOCATION OP
I,EGAL DESCRIPTIONt1oz_l 900 O3Z-ao
JOB DESCRIPTION
'1.
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI^ATION ONLY
Electri
Address
caI Contracto
Ci ty Phon._L4!:!J,q -flL?Y
Supervisor License Number 744 I *l LU
Expiration Date a lor
constr contr. Number I 44u86 C.
Expiration Date
Electrician
Ovners Name D.
OL,J
Address
Ci
SPFI..{GFIELo
ELECTRTCAL PERI{IT APPLTCATTON
City Job Nun -O lL/L/ Z -O
3. COHPI,ETE FEE SCEEDTILE BELOV
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
B Services or Feeders
fnstallation, Alterations
Irlt.or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/volts
-Reconnect Only
ee trB( aE'ove-
Temporary Services or Feedersfnstallation, Alteration or Relocation
200 amps'.or less
201 amps to 400 amps
-
over 401 to 600 amps
-
over 600 amps or fbOO rE-ITs
Branch Circuits
Sum
s s0.00
s 60.00
$100.00
$130.00
$300.00
s 40.00
40.00
55.00
80.00
$
s
$
s,
en"n"_91foA L- 1ffiL
OSNER INSTALLATTON
The installation is being made onproperty f ovn vhich is iot intendedfor sa1e, lease or rent.
Omers Signature:
Nev, Alteration or Extension per panel
One Circuit
Each AdditionalCircuit or vith Serviceor Feeder permit
MiscelLaneous (Service/feeder not included)-Each installaiion
s 3s.00
$ 2.oo
E
DATE:O?esoo
Pump or irrigation cSign/0ut1ine-Lighti"g_- illli::g Energy,/ies --T-
$
c:,:7JW).. *+ffi
0s
00
qH
0g
T.J
40
40
20
IOC)(}
L'JFJ..o'€
OREGONCITY OF SF
RECET\IED
5
-SUBTOTAL OF ABOVE
/%. State Surcharge
32 Administrative Fee
TOTAI,