HomeMy WebLinkAboutPermit Electrical 2000-5-8
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AUTHORI~~~~~;E~T~;~;~R~T'fS\{jOT'(': ,~~n":"I' ! n.':c 'I:',~;,~r~ '~2
'~O?\".<\t:::;.;-dl -\J'. I, \.'~' ....1
COMMENCED OR IS ABANDONED IJilfiJo, VOl' iTlU\' Q;1talil Gople~ o'ftil~ .UI3S D.
ANY 180 DAY PERIOD. ca\l'n '11~ r;,,'ltC'.I~,Ol~ tll> t<'~',~none
'1ljmber ior the O;egon Utilit~Notltlcatlon
<". -'0 'b 'itiedhasttiafollowlIIt.ECTRICAL
9 71i'1~IOIIOWi~9 :;~~a~~~~:~ui~a spacific land usa ." ' .
726'l!~.M n _ Ci ty Job Number (f/)' Ol) ;)./ [,~ 0 J
approvM~ ill'....... -
Zoning 3. COIIPLETE, FEE SCHEDULE BELOY
1. . LOCATION OF INSJAL~-QlL-~-~-D'1>
tOt) /hI' ""f7~(~ ('rnF('Afffdr~:~ ~'~ .o(J.AJ A IJ~.. Retlidential-Single or
Multi-Family per dwelling
LEGAL DESCRIPTION Service Included:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
.~
unit. ~
Cos t .: 'sum
Items
$ 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
/;tlJ.;/-,Jj Im/fr' - 5/htr;4f fn4fftu...-~
Permits are nod1transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTAL~ION ONLY .B.
Electrical contractorhd/,''l?,:d ~/'l'kl!n~
Address fJ./l, (00)( i./C5'-1V
Ci ty ~/aJ Phone <.jKtj-9o 7-[('
Supervisor License Number .5g~1 .J~
$ 15.00
. $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
1/-/07
Expiration Date
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
Constr Contr. Number 9%1'/5
Expiration Date it / PI
Sig""lj;tJhJ;J <I.mid""
Owners Name~"'ur" ~-, d~n.'ff
Address fJ. C. 13(1; 1'/25
City Y'''9''/ll'J Phone :1t1';~ LtLuO
OWER INSTALLATION
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
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 $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res ~ $ 20.00 ~
Limited Energy/Comm $ 36.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
VJ ,67)
I. &i!
,t!O
'L 1. . 61J
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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DATE: :5.- <6 - o-1J
RECEIPT 1I: I ,,:2./)'7"1
RECEIVED BY: =l<u../