HomeMy WebLinkAboutPermit Electrical 2000-5-16
zoning, and does not require specific land use
approval. L.-~
Zoning
-'5-f<,. - en>
'Kv0
7
DATE:MAY 16 2000
ANT RECD:1 $ 60.00
_ CHANGE:$ 16.00
CASHIER:059
ELECTRICAL PERMIT APPLICATION
3. COMPLETE FEE SCHEDULE BELO\I ~
A. Nev Residential-Single or
Multi-Family per dvelling uni t. .. _
Service Included: _
..lV'
'.\ o~ i \)\\X\\': _
JOB DEiRIhiI? 1000" ~of !\\Oh"l
./ I E~r.IiO.,Sqd~'" S~_ %1\ e50s0s
v!'/Jrocp 'fl. IJUv",/J~ Q ac \;<!- ultolona ~.
I I k ,',O'tt.~ {" sq'~ it"~'6~:p'ort\ibn
Permi ts are non-transferable and expire .,' ,Y, ','thet'eo,f\'\\'" ~O,\\0
\ ,'i. 'fi-~' 'r"~ .."nf"
if vork is not started vi thin 180, days" ,"E:,!pli\ M\~\,:\u:t~~.\dldme. or
of issuance or if vork is suspended for,' ",,\'i\.\\Modillar,,'Dvelling
180 days. ,," ,(\\'~' 's~~i'~~00r.'Feeder
('\1'e,o .
. _ 'A':
'.\ '\I.B.
Date
225 FIFTH STREET Authorized Signatur"
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION PI INS~~TION
57,()~ /Ylaj" ,r
LEGAL DESCRIPTION
2.
CONTRACTOR INSTALLATION ONLY
ical ContractorT)lj)l.~/'
Address ~'\)) ~"" yt
CitYSp:Wh Phon~1-tl~~~<)
Supervisor Lic~ Number
Expiration Date ~
~
""
Constr Contr. Numf.er
Expiration Date
Signature of Supervising Electrici~
O~ners Name 5 Ol'\~ C,J~~
Address ~1:1o~ MoJ..I^ ,\:1'
City~9-.. _ Phone l<1l~)~S~
O\INER INSTALLATION
The installation is being made on
property I ovn.vhich is not intended
, for sale, lease or ren t.
:~~~~:~~:~-~-----
DA ~~-r --t
RE WT jI: '
RECEIVED BY:
,,~\.
City Job Number
Items
Services or Feeders
Installation, Alterations
or Relocation:
QQ-Of7-36-D l'
J
Cost
Sum
$ 85.00
$ 15,00
. $ 40.00
, "
200 amps or less _~~~5Q.00
201 amps to 400 amps~,c\~v ~S~~0.00
401 amps. to 600 a~pS\\..'~...."t\\\ ~'$~OO.OO
60A:f.'l!~" SOc,,^9.00'ca","\P'~,yt:-' . _')~$llgO. 00
0~er 10QO~amps~~61ts .nO~v $300.00
f ~ O"'I\.ot ,\..- \~V~ f\.~ ~
Reconne-ct..,pnly <:.,,~I"'\'- \ $ 40.00
'\ ,i\~ /?,...,,- /? '''' I"'
\-<;~O -cOO ~
Tem'Por~~I&Ser~l\Sl or Feeders
Ins1j1~\l'th~.;l 'Alteration or Relocation
. t>.~'{ \'0
200 amps"or 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
C.
D.
Branch Circui ts
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit'
E.
Miscellaneous (Service/feeder
-Each installation
Pump ~r irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
11J.00
40.00
40.00
20.00
36.00
, A)
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