HomeMy WebLinkAboutPermit Electrical 2000-10-2
, submitted has the following TRAN lo
The following prolect ~s equire specifiC land use ' StI: 01-0003341
zoning. and does nO r DATE: OCT 02 2000
epproval C' c.--- AMT RECD: 2 $ 45.10
Zoning - _ ,,-v, CHANGE:
10"2- \ - t.w,\"uuCAL PERMIT APPLICATIO!!ASHIER:061
974Tpate - cKv--.J _
726~zeoSlgnature City Job NumberOO~OJL{7"3.-0 ('
225 FIFTH STREET
SPRINGFIEl..D, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
.c;n9L( m.t'.L: (l
LEGAL DESCRIPTION
J 70?333?
o ]. SUO
JOB DESCRIPTION .
\4Pc.k- \,"~ d- c:.1la.",S\P- G (C
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor A.t1 Lr' Et~
Address ,,;T J / / /'-1/J /,11/
City ~tP/c,P Phone ;?.)...t' 1'717/
Supervisnr License Number J CJ-z-J.of
Expiration Date /~///o/
Cons tr Con tr. Number ':2-d.J G' .2 C
Expiration Date /0/'/ /0/
Signature of Supervising Electrician
""
.-;;-_ /7"
~~, v ~
Ovners Name. \ _D I~\ ~ \ '=-'("'\.10
Address 509L/ VYlv",'(7 Cj')Lf')'fl
~ -:1 Phon" 'f)L;<;' 9.5/
r\YIC,h~c;
o R INSTALLATION
The installation is being made o~
property 1 ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 1002.0-0
RECEIPT Ii: ') fl-( I
RECEIVED BY: fi),,^
3.
COMPLETE FEE SCHEDULE BELOV ~
Nev Residential-Single or
Multi-Family per dvelling unit.
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 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
,$ 40.00
B. 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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration Or Relocation
200 amps' "or less
201 amps to 400 amps -----
Over 401 to 600 amps
Over 600 amps or 100U VOlts
$ 40.00
$ 55.00
$ 80.00
see "B" above
I
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit J
Each Additional
Circuit 0, vith Service
or Feeder Permit ~
$ 35.00 ?f.).e'>
$ 2 . 00 co. Qo
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36,00
5. SUBTOTAL OF ABOVE t.U. b'O
7% State Surcharge ';)."t>j
3% Administrative Fee I,. ;:1..,,"\
TOTAL Ll <" \1"\