HomeMy WebLinkAboutPermit Electrical 2000-7-10
02/11/98
'8'5_28 3889
10:22
SPFD DEV. SER.
.
~001
TRANS#:Ol-0002501
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CHANGE:
CASHIER: 061
,
The following project as submitted has the following"
zoning~ and doe~ not require specific la~d use
approval.
Zoning'
225 UUQ STREET ".ole ! 7 -/D-en::>
SPRINGFIELD, OREGON 9/477 ~
INSPECTION REQUEST: "72fiLlm9ignature
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
S77() M/i-t /\.I S I
LEGAL DESQUPTION
1702 S}L.(I 0('70-0
c:..c.......
JLECTRICAL PERKIT APPLICATION
"ity Job NwuberOO-ooo9 & -0, I
3. COMPLETE PEE SCHEDULE !'lELOV ,*,
New Residential-Single or ,
Multi-Pamily per dwelling unit.
Se'rvice Included:
JOB DESCRIPTION
AOilT'L CI (2..c.u...\~
i
Permits are non-transferable and expire
if work is not started within 180 days
of' issuance or if work is susper' ded for
1BO days. :
i
2. CONTRACTOR INSTALLATION ONLY .B.
I
Electrical contractor~l'V'\~~trlQ..
Address ~"':=; Lt ~ '0~ ,
Ci ty' ....:>a,R, "',",,0 Phone 3--t3- ~), '
\,) -
Supervisor License Number d.~",>3'
Expiration Date \ ()! D I)f> '. i
Constr Contr. Number 11;;>-'5"';;).,
Expiration Date (!)(3io'(}/1) I
. f
Signature of Supervising Electrician
/J ,~'14-~~/u::::-
Owners NaJ! ~(h Dt:-Y6{~+- D.
Address 21 '17 olYLM!{(- St-
Ci ty SfJr,") C.) J _ .Ph~ne I
OVNER INSTALLAtiON
The installation is being made ~n
property I own whiCh is not intended
for sale, lease or rent.
Owners Signature:
--------------~
DATE:' 07/to/co
R<...r...n.,:
RECEIVED 'BY:
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. A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Kanuf'd Home. or
Nodular. 'Dwelling
Service or'peeder
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
Re'connect Only
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Peeders
Installation; Alteration or Relocation
200 amps' 'CT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
"
New, Alteration or Extension Per Panel
,--
$ 35.00 3'>
One Circui t'
Each Additional
Circuit or with Service",
or Feeder Permit Z /
$ 2.00
.:::,~
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or 'irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
7 J%State ,Surcharge
3% 'Administrative Pee
TOTAL' ,
$ 40.00
$ 40.00
$ 20.00
$ 36.00
93
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