HomeMy WebLinkAboutPermit Electrical 2000-10-5
.
SP.IELD _ I ,.'_
The following project as submitted has the folio
zoning, and does not require specific land use
approval.
Zoning L b (L
225 FIFTH STREET Date 10- '5 - 0-0
SPRINGFIELD, OREGON 97477 .' J/J,)
INSPECTION REQUEST: 726_3'Yll'!l'nzed Signature ":>'
OFFICE: 726-3759
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractoltl6F I f CTJ? (C'/,TVlC
Address 40leS) Pl. J)t1 #/X
Ci ty (I ~31'.n <2: Phone i O'X"? - to; ?~()
Supervisor License Number L~Xl-d. S
Expiration Date i ~I I Ifl/
I I . C.
Constr Con tr, Number ~+.C:;'i-r~- - (j
Expiration Date4 jOr)
Signature~~lectrician
Owners ~m~~ ~~~ D.
\ (r/)~
1 ~ LOCATION OF INSTALLATION ;:J.. [)'
f] e::; 1Y\~k' ~^(.,(UN.. Ut..,
,6
LEGAL DESCRIPTION
_...-, JOB DESCJUPTIr ~
'(\ 0 \1 ) In 0 Y
~
Address ~{o~ W,
City G:v61~ i
d~ ~ Ie
Phone (p~ /( 0
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: 100<:;00
RECEIPT t!:5> S ? Y
RECEIVED BY: :-. is
EJ.,&;lJUCAL PERMIT APPLICATION
"~L~ Job Number (J7J ~ 0 0 '10'6 - 0/
3.
COMPLETE FEE SCHEDULE BELOY
Nev Residential-Single or ~
Multi-Family per dwelling unit.
Service Included:
Items Cos t. Sum
A.
1000 sq. ft. or less I $ 85.00 'tS6D
Each additional 500
sq. ft or portion b q().(fO
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder .$40,00
Services or Feedert
Installation, Alterations
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
$ 50.00
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
Temporary Services oi-Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see llBI1 above
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or FeedevPermi t
$ 35,00
$ 2.00.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $
Sign/Outline Lighting $
Limited Energy/Res
L~rgy/eomm_
5. (1UBTOTAL OF ABOVE
7% State Surcharge
I_Administrative Fee
TOTAL