HomeMy WebLinkAboutPermit Electrical 2000-09-26CITY OF ,OREGO'V
fhe tollowtng project as submitted has the lollowinozontng and does not require specific land use -
approval
SPf FIELO
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
-Each installation
Pump or irrigation
Sign/0utline Lighting-
t lilitea Energy/Res -f
Limited Energy/Comm
Zoning <DTL
uate -60225 FTVTE SIREET
SPRINGFIELD' OREGON 9fl1{rflnzea Signature
INSPECTION REQUESTz 726-3769
OFFICE: 726-3759
1 ._1 r'v OP
ON t-?oLl9oo
o3Zo.o
DESCRIPTIONPred..>L l/-'ru * 2.zx
Permits are non-transferable and expire
if vork is not started uithin 180 days
of issuance or if work is suspended for
180 days.
2. COT.ITRACTOR INSTALI.,ATION ONLY B.
Elec t r i cal Con t rac tor 7-h e-5tfezers 5 y'a^e-
Address z
city Far4*-et+e Phone
Supervisor License Number
4
Expiration Date
Expiration Da te7 - z<>D )^
Signature of Supervising Electrician
Ovners NamdBr, p^A}D.
.L
Address ZZ" 3 32+L r
Ci ty 5 ?trb Phone
OSNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Onners Signature:
DATE:
PERHIT APPLICATION
itv Job Nunber -Olq:to -ol
3. COI{PT,ETB FEE SCEEDTII,E BELOV
New Residential-Single or
Mu1ti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
€5Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home' or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/vo1ts
Reconnect onlY
Temporary Services or Feeders
Insiallation, Alteration or Relocation
200 amps"or less $ 40.00
over 4b1 to 6oo anps
-
$ 8o.oo
Over 600 amps or rbOO vofEs see uBu aE6E-
Nev, Alteration or Extension Per Panel
c
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
A
Sum
s s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
O
00
0q
0e{
OF
IO
(:)
L,.tL'IO
-.\.1
5
$ 40.
s 40.
$ 20.
s 36.
RECEIVED
O OO
OO
-
Constr Contr. Nunber 75r1{'V