HomeMy WebLinkAboutPermit Electrical 2000-1-7
.
7
DAT~:JAN 07 2000
AMT RECD:2 $ 561.00
CHANGE:
CASHIER: 042
225 FIFTH STREET The. following project as submitled has the following ELECTRICAL PERMIT. APPLICATION
zonln.a. and does not reqUire specific land use.
SPRINGFIELD, OREGON 9#<<IIIal. ." . . . ,I.
INSPECTION REQUEST: 726-3;?Ji.?n (lC- City Job Number 9Cf-(:;J/Z?y
OFFICE: 726-3759 gl-7- nA.
Date .....-v '1
1. LOCATION OF INST~~!Yl!!ignature ..fM.J
'1175 MAli.... sr
LEGAL DESCRIPTION
/'7t!J'2.:JZ3'2- - 02-5&70
JOB DESCRIPTION D__'
JAC.K-/N/IHe-r:py
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor 'l~cS
(J.. f/-..-tyS
Address P.&? 6o't<. /tf/SI
City I~A- iJ/tV'f..... oJ/Phon(5d3)79'/-SYo~
, -
Supervisor License Number ,J1Cl3t
Expiration Date /O-O)-t:7/
""UDT IlTE FEE SCHEDULE BELOII ~
~ew hzsidential-Single or
Multi-Family per dwelling un.it. .
Service Included:
. A.
Items Cos t
1000sq.ft. o~~~~~~ $ 85.00
Each addi tionatfl.9~R. .
sq. ft or PcHtt1WB 'A4rrS
thereof Cn~.. 'Ae~:J 7-t,qL.L.~15.00 .
Each Manuf' 4. HO'J\\it:~. UIVDS 'PIITI2!. .
ModularDwe'i'rtllg 'E:DOIT Ar/il.t;!t> 'f:'77-t12
Service or FeeaeQ,qYP~~1v.4'{dJ~MI'" WOITI(
o..rT/OD 'DONS '~'^'O
Services or Feeders . Df:OIT r
Installation, Alterations
or Relocation:
.B.
200 amps or less 5
201 amps to 400 amps
401 amps to 600 amps. I
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
Sum
$ 50.00 .150.'$
$ 60.00
$100.00 ~
$130.00
$300.00
$ 40.00
Constr Contr. Number
997r.J7
"3 -/7 - -y?Pl?
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
. Signature of Supervising Electrician
'-- ~<; P H?UAXJ
Owners Name...(ar4 fhrl!'1 r Jnc...<
/ ,1. . I
Address
Ci tyS/Ln 1> r p r() Phone
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
,
DATE~------1-1--1-t~-~---~-~--------
RECEIPT II: . . . I 1:. f
RECEIVED BY: 'A tfl/\\(VV----
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
.'
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t "f({) $ 2. 00 /"O.~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
SignlOutline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36.00
1)/0.00
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