HomeMy WebLinkAboutPermit Electrical 2000-11-3
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22 FIITH STREET asn PUBI Oll!oads 9J!nbaJ IOU saop pUB '6U1uoz LE
SPRINGFIELD, OREGON 1I).i11o\iil1~j a41 SB4 palllUJqns sa,oafoJd 6UIMOIIOj 'a41 '
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1.
LOCATION OF INSTALLA51N ..t-
fl eLl.5 m ~ :i'l.QVb
LEGAL DESCRIPTION
JOB DESCRIPTION
F; ~ Do.l'V\.~ Jl' ~1.v.'v"Z
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractorf::.5 ~(~_
AddressEr./:) <D1S'K ri-4C1 Z 7,
Ci ty f..'-LCP^,.e.- Phone (., A(,-"~~L
r
Supervisor License Number :20 -rl~C-
Expiration Date / ^ I -" I
Constr Contr. Number ")068<1'
Expiration Date 1'1--<.1\-00
Signature of Supervising Electrician
<r;~ ~A~ /
Owners Name t t.1tJ RtF, r: p ~
Address ~~
City Phone
OWNER INSTALLATION
The installation is being made on
property I ,ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
f/-03- 0 aJ
.:<...O~
W.S
DATE:
RECEIPT 11:
RECEIVED BY:
PERMIT APPLICATION
{JO()/O"3;}-O'!
*
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof,
Each Manuf"'d Home, or
........., r/l',
Modu~!!!;cp,~ellillgr'i;; , . '. ,_.
Ser.vrcero'r"Feeder ), ',If <] $ 40,..00:
"""''"t 1352-0 "'-' IOUI> , r',OOn 1.;/"1,.
099Ci y... O)-OU'/I, t,U1ti~_" , ,"''''
Servl,ces o'l! rF.eeqers' ,h'ouqr, 0 ." - ~9' '':
Ins tal1'iit, ',ion', c'Al'tlfra Hons 'OfAH 952-0Q'
'I('illn,. Vllf'H ',. "U," "h'" /-
or Reloca~'l"OJ:.ld._ O~~ ,VOt, :'.);.;.- (~, .- (lJfSs b
...., _: ....Po., ~~;' .....'.a,onon~ J
200 amps or less ': ,;:.J!I.' '\IO$fifJ/J.;(Q9
201 amps to 400 amps . '''''1$ 60.00
401 amps to 600 amps $100.00
601 amps to' 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
1.t;~"rJ
T ' Ci::. S' F d
'emporary. erVlces or ee ers
ih1h:fflatoi,on, Alteration or Relocation
AUTHORI;~ ' ot1ALL ~XPIRC:
(4...Q9.'vi~!llP~'~diJ~tE1.~h/.J/~ '-' IFTHf= I!v~) 40.00
A,?l2-~ amps:LteJ,c.4.9,q ampsoFRA"~ .$1"55.00
Ovef.O~Q.:J.1 tE,., 600,fampJ\"1' ,__'" IS '$eliO. 00
Over 600 ~mps)l9.r 1000 ''vo''I'(jHsee "B" above
alBa
3.
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
B.
C.
D.
Branch Circuits
2
DATF:NDV 03 2000
AMT,RECD:2 $ 110.00
CHANGE:
CASHIER:059
unit.
It ems
Sum
f?S.00
/5.QtL
Cost
1
I
$ 85.00
$ 15.00
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
not included)
$
$
$
$ 36.00
lro-~
7.0l?
3. a::: ,
IIG>_~'
40.00
40.00
20.00