Loading...
HomeMy WebLinkAboutPermit Electrical 2000-12-13 . .'. ~, SPRINGFIELD lJ&t~ ~>".,~" ~ , Irl-.-- ,\,:> ~ O'i), M 225 FIFTH STREET.' 'SPRINGFIELD, OREGON INSPECTION REQUEST: OFPICE; . 726-3759 ',' Autnonzea Signature 97477 726-3769 '.1. ' . '. . LOCATioN OF INSTALLATiON' :-5531 'mAlA/' ,,' ,r , " "LEGALDESOOPTION ' " , '.~'.70.2.33'f Z . 63> 3OC) JOB DESCRIPTION :et:r?,A-t r2.. '5c-<2-vi ~ CL")N(:;,,<.:r~ S, Permi ts are r1On-transferable, and expire', if work is ndt started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION,ONLY ,B. Electrical contractort~'SFI("d-l'l'G\--:.r;\,\C. Address p.O. BOf-\L\~:2- ' , Ci ty~i nSDrld Phone 'iLl 1-223~ ; )0HS \0"01-0 I '31L!.Q {)-DI-02. 5upervisor License Number Expiration Date Constr Contr. Number Expiration,Date 5i ~ure of Supervising Electrician . 0., 112~ . ~ ~/Q y br-^7::>"-- /(-<A:::'..}- D. Add ress 553 I City sp~D I w1A-/d . Phone b'6{;, - 'gOYO =,:, OVNER INSTALLATION The ins~allaiion'ii'being ~ade'on' property I own which is not" intended' for sale, lease or rent. '. ,\ Owners Signature: DATE ~ 12,/ :3 0'''= RECEIPT 11:, RECEIVED BY:, ~(<,., o../OL$ , ELECTRICAL PERMIT APPLICATION 3. , , , City J~b Number 60-D/7.35'-O( COMPLETE FEE SCHEDULE BELOI/ ~ New Residential-Single or Multi-Family per dwelling un.it. Service Included: Items Cost Sum A. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular, 'Dwelling Service or Feeder' $ 85.00 $ 15.00 ....._- .$ 40.00 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 I $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ~. $V C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see 11BII above Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.QG $ 20.~.....,=n $ 36.qg~~ . ".,rnoo ~..*" ~'-Clt::l.. ~_ ... rr10 ]j;!~NCJ""" ~~6 ('?_,.~8 , "--<::,-,:;1. 0 25 0' rr1 C) C) f'..) ............00.01 SUBTOTAL OF ABOVE 7% State Surcharge 37. Administrative Fee TOTAL