HomeMy WebLinkAboutPermit Electrical 2000-10-30
1
DAliE:OCT 30 2000
AMT RECD:2 $ 22.00
2 $ 22.00
CHANGE:
Il:':::-F-\ICAL PERMIT ,APPLICATION CASHIER: 059
Ci ty Job Number IJ 0 - 0 I 0;;),9-0;-
The following project as submitted has the following
;z:oning, and does not require specific land use
, approval. l rf.
225 FIFTH STREET Zoning J?
SPRINGFIELD, OREGON 97477 Date 10 ~ ~ -~ \
INSPECTION REQUEST: 726-3769 1V--...J
OFFICE: 726-3759 Authorized Signature
1. LOCATION OF INSTALLATION
X7i./ /h1',/'~./I'2 ;1. f.nM' lOr.
/
LEGAL DESCRIPTION
JOB DESCRIPTION
ft'rnt"f7d ,Pm rq f{ /St.e.u.o:t:y <."-7;~,^-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or 1!'
Multi-Family per dwelling..uni,. ,
Service Included: .
It ems - Co t '
3.
A.
1000 sQ.ft. or less
Each additional 500
SQ. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dvelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
, ,Installation, Alterations
Elec t rical Con trac torO".!1 rv..D,J ?J 1/::fLi2.01. c./Y or Reloca t-~8!l':\JO\-'l'~
01'\\.it:.. ,\ 1=1-1"\p.E.\l'" n ':\'15\,\01
Address P O. /l,,, x '105'1 t" \'\ -~qM\\ St\P20.0' 'f,!'lppror"^l~;;~
r. \\-II~ r~' .~cD \)I"20f\ ~nH~~ C~.q?-400' amps
Ci ty r, aO I'M Phone 5'1' - </&<(,,,,92J\?g- Oa.Q'!pamps) to 600 amps
t . ,- ,~E.\,\CE.D 601,\amps to 1000 amps
Supervi.sor License Number 333/JiJ're" ODP.'{?'{i~'er~1000 amps/volts
p.\'l'i \~ Reconnec t Only
'Expiration Date /6?(jl-l
C. Temporary Services or Feeders
Installation, Alteration or Relocation
~. liteS '10U.t\~"
200 amps::oi'3'l:!!_~sJn UtI I, . $ 40.00
201-amps .to) '4001 amp.s\O"" $ 55.00
visi g El ctrician ,...' \ <:." \~Q;>[eftr~.oj;stoIl600~~p'S_.\)\W $ 80.00
\01l0""{~ l'I-&~~r;\600\l:LlI!l1.s,Q)r\lmB9J~vO"its see lOB" above
,,~\i\icat'O [\()~_()()~~~ _00i8'3 0\\ v ~One
Op.m15Z-BranchCl.'(;;ircuHstO\3? ",>',On
II D ('I" \l fit'" - 'NO'''''' N \\\\C,,\
Name '1~'1 (Ju'''' I'D,nlZ.L.L& ,')o,(). O,..."cen'S!.\ 1l.\\iW' 0
t ' -callinQ New,DA'1:ter'J.tion,ro'J.',)Extension Per Panel
Address, Iii 1/7-,,'4 /1,,4. /), don,<,-,,,~'\.'l""
J? 7;./~ (-r;tL'f.uJl rtV~' ,,",noe > "
~ne'Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit
Constr Contr. Number /if'<lu!?5
Expiration Date
Si71JlJ~
Vv
Owners
Ci ty ~'" 1 t.'? I Phone fl'/ I-q g'-l- OO:f- 0
OVNER INSTALLATION
The installation is being made on
property I ,own whiCh is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
Sum
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
"
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res I $ 20.00 ~
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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