HomeMy WebLinkAboutPermit Electrical 2000-2-28
'-
, b~i"ed has the following
The tallowin9 project at 5 SU uire specitic land use
zoning, and does nO req
approval. ~~
225 FIFTH STREET Zoning
SPRINGFIELD, OREGON 97477 2~'2-<(;- ~
INSPECTION REQUES~ate IZb-3769 1<.
OFFICE: 726-3759 Authorized Signature
1. LOCATION OF INS~LATIONI
LJ 2/ 7 V)y,<t.:Iv ') '7 )/J f'"C C
/. /7 LEGAL DESCRIPTION
JIJ d- .3 ~ 3?-n J9tn)
JOB DESCRIPTION
<\,..r,,/:-f'7 (y"'4..----,
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 /flJ1 Sl"ru,<.,1y
Address_I r:;-O I
Ci ty. LfA'.-P
t?"",.. A. (
I
~/.r k tj
Phone'] lf2.-/ j/?
Supervi.sor License Number $ t;) S I.. If:
Expiration Date '0 Ii / rJ"Z..-
Constr Contr. Number ~?'14 C,
Expiration Date ~ /7/0 I
I
Signature of Supervising Electrician
~~~~.
....
Ovners Name Po..T~"'Y ~(^/, '('
Address~170 I)",j(~v /l.'./(A. I~
I .
City re;.A'....~ ?'7YPIPhone tU;..f{) 1'6
OVNER INSTALLATION
The installation is being made on
property I ~vn vhich is not intended
for sale, lease or rent.
100:~3IHSIj::J
:39NljH~vners Signature:
09'6~ $ Z:a::J3~ lWIj
OOOZ 8(. a:=l ~ : :lIl-m
1~LOOO~~i!st~-~7~~;ftrl}----------------
RECEIPT II: ' {51. .
RECEIVED BY: / 1- mat.l--a.d~o
ELECTRICAL PERMIT APPLICATION
3.
Ci ty J~b NumberlfY.t:).3 ~ d-O {
COMPLETE FEE SCHEDULE BELOIl ~
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
A.
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. f t or port ion
thereof $ 15.00
Each Manuf'd Home. or
Modular'Dvelling
Service or Feeder .$ 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 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circui ts
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy/Comm $ 36.00 f E; 0.)
.'......
5. ~BTOTAL OF ABOVE
State Surcharge
% Administrative Fee
TOTAL
.-
~{~
'2,(;2...
I. Of:
19 );0