HomeMy WebLinkAboutPermit Electrical 2000-4-17
8
DAT~:APR 17 2000
AMT RECD:2 $ 22.00
CHANGE:
CASHIER: 059
ELECTRICAL PERHITAPPLICATION .
City J()b Number qq...:O l'~q 8:JO { .
The following projectes submitted has the following
zoning, and does not require specIfic land use
approval. i..n (2-
225 FIFTH STREET Zoning. oi>
SPRINGFIELD, OREGONdAll<17 H-i7~. ')
INSPECTION REQUEST: 72fi-3769 ~
OFFICE: 726-3759 Authonzed Signaturr
1. . LOCATION OF INSTALLATION ()
~"" I1flKlt7"9;.t. tr,/Yt Y.
LEGAL DESCRIPTION
JOB DESCRIPTION
~.iJ)1"'~d 'nlN?l( 1<:;/1'/"-;7/( >n/.'\1z/?V
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Electrical Contracto
Expiration Date
t/ 100
Constr Conte. Number qf> I'/.")
~
Owners Name tl1l;, /'
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dwelling
Service or Feeder
Cost
Sum
2. CONTRACTOR INSTALLATION ONL~ ., 'C:", ,v,'B;,,,,~~e.r~Ac~.:: . or, Feeders
. O!/o rules adoPte]jn~talla't'i'OnY,u'Al tera t ions
. "0 f, 2 D Qpjjif~r IiEiI6.@!eilBrI.;tilit
. v ... ~~2-001-001(]';~~'" 'wes are setfor .
Address 10. (J;~'-I n 5 '-/.,<;' J090. You may Obtail49.90lirm'P'S'Pcfr9!Y"ess 1
/' Calling the cenrel ?9jPlfl!ps' l:ta rAQQ li',mps
Ci ty 'I',,//:{ p /U . _ Phone 5 ~/-r"l'!l1OO1 ~~r . i4o..]le~,mps'etOJ.t.6.o.Q amps
~,_.." . er61hU<impslcto;c1000 amps
Supervisor License Number 3.53/ J LE'" 'Ovei'~lOOO \:amps/'vo1 ts
Reconnect Only
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 40.00
$ 55.00
$ 80.00
see "Bit
above
:!07/Cc: ~~~ ::~~. '~~ ~~~s amps
gT~~~Cl~~iSAA Over 401 to 600 amps
"''''""C I 'ff LlEXF>>/REIPv~~~~mps or 1000 volts
" J MILt:U UNDEq THIS PE .
))UiVIIVlt:NCEDOR/SABA~' iM'rta;I\trorcui ts
IAJoJvllll'tJ:M1fE: DONEDFOR
- . ''''''1.1&.1. New, Alteration or Extension Per Panel
Address j} O. f30x ?'-I:L5
City f IlqLL71 Phone S'II<l</'-/-:LIR&O
OVNER INSTALLATION
.'
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res --L-- $ 20.00 to.OO
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
1..0.00
/'.4'0
.<1(7
'1.'1. .00