HomeMy WebLinkAboutPermit Electrical 2000-12-27
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SpAFIELD
The. tollowing project as submitted has the following
225 FIFTH STREET zoning. and does not require specific land use ELECTRICAL
SPRINGFIELD, OREGON 97~Pfjoval. .
INSPECTION REQUEST: 726_3769>ning LbfZ..-.
OFFICE: 726-3759 Date f J - -<-7-cJ.O
~t03.
PERMIT APPLICATION
':ity Job Number Ar'>- O/S//-'O (
COMPLETE FEE SCHEDULE BELOV
unit. ~
Items cosX'
1. LOCATION OF INSTALt'J{Ifft5ir Signature
1'61 0t'J'U'l,?;1~ Crur" iJr.
LEGAL DESCRIPTION
/70<:" 2"!,L( J
New Residential-Single or
Multi-Family per dwelling
Service Included:
. A.
020=0
$ 85.00
1000 sq.ft. or less
Each additional 500
sq.' ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
JOB DESCRIPTION
;,'/J, It::id 1'/11/4'1 ISt!.eu.Idy R~(d'7.LnL.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 15.00
.$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
/l .. I. . Installation, Alterations
Elec trical Contracto~LilL.Uk7Jr "xI,/ //9r O/'l<&rer Relocation:
Address.,Lp. A7)v '"t.O."iifJl' . 200 amps or less
201 amps to 400 amps
Phone 5'"1'1 'i/RL/.. 'PtJ.;'r' 401 amps to 600 amps
601 amps to. 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Ci ty _Y., //fWL
.-r~.13 / J LE
Supervisor License Number
IV//) 2-
Expiration Date
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number / y</tAf?:5"
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Expiration Date "
Signart10f sup r
(,,1--1)
. v
owne~ Name,;;u.n;'/ ~ II-" /h~
Addre~s /J. o. hn-Y "7 </2.5
City f, "9 Cru Phone.S"lI-7'1,-/../'/,tLO
OVNER INSTALLATION
'dan
Branch Circuits
D.
"
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.0~ .
Sign/Outline Lighting $ 40.00=:;0;0
Limited Energy/Res I $2o.oq;;;IDtl
Limited Energy/Comm $ i~.O<g,:.:. "* .
:D .-mQ
5 ""aTAC OT """ ~~ n ~
7% State Surcharge
. 3% Administrative Fee I..'~" .. ~~
-rr :L'~~
TOTAL A ~o:, , '3 0::5
The installation is being made on
property I .own which is not intended
for sale, lease or rent.
Owners Signature:
----------------------------------
(2. "2-1'00
DATE:
RECEtPT II:
RECEIVED BY:
'"i /7-0
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