HomeMy WebLinkAboutPermit Electrical 2000-8-29
eNGFIELD .., I..
The fOllowing project 8S '
lonlng. and does not r SU~mltted h.a,s the fOf/owing
approval. squire specIfiC land use
loninr' Lt,fL
Dafe 1$ / 'ZP\-Oj) tlLEGTRICAL PERMIT APPLICATION
9~i~h~Mignature 4')~ City Job Number 00 -C::08'"3'1-0 (
3. COMPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION /
.s 3d /"Y)/1 n S..p I'f> I (;t'
LEGAL DESCRIPTION OSLlOO
17D37_-<; 'y..{ (
JOB DESCRIPTION . i1
fWd .CJ,b.ptYltll/ -ft'J ~)(,.s:f~ 1-1l.s..
Permits are non-transferable and expire
if vork is not started vi thin 180 d2vs
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor~~lKi:riG
Address 'Pd ~())' A ,/,J)"IJ 3 , '
Ci ty fuq t). n P Phon eSt/ l-to 8kalabS
Supervisor License Number ~~~ ~
Expiration Date J{)-O/-O/
Constr Contr. Number 5/()l!1
Expiration Date 0(, -~7-() /
Si~a ~e <y( Su
~;- /
~vners Name 3"'k......... / S c..'" /J ,^-P~ D.
Address :5:..s 2-. Mtf#SFrE---r....(\
Ci ty S P ~O Phone 72-b 57lf7
OllNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------j7i- --~- --------------
DATE: c:::> go- Z9' DO
RECEIPT 11: "3 oS?
RECEIVED BY: ~
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder ,$ 40.00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
5dOO
Services or Feeders
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
C. Temporary Services or Feeders
Installation, Alteration or Relocation,
$ 40.00
$ 55.00
$ 80.00
volts see I'BII above
Nev, Alteration or Extension Per Panel
.'
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit ~ $ 2.00 1~.t)O
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE'
'\ ~ State Surcharge
3% Administrative Fee
TOTAL