HomeMy WebLinkAboutPermit Electrical 2000-10-27
The following project as submitted has the following
zoning, and does not require specific Iqnd use
225 f;IFTH STREET approval. .Lb (L-'
SPRINGFIELD, .OREGON 97477 Zoning
INSPECTION REQUEST: 726-3769 /6 - ;L ,-tn
OFFICE: 726-3759 Date . W
Authorized Signature ~' 3.
1. LOCATION OF INSTALLATION '
1c2/ 7?fi'a;n oT .~h';;''' A.
LEGAL DESCRIPTION
I 70,7 '3 Z 3 z..
01 '7o-a.
JOB D"ES~RIPTION
add (3n e..
I . I
C!.l v-c..~ -+
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractorA(~~ ~p
Address;l7l&J;-<! S/lyAe.'r' Pi. .
Ci ty ru ",c:t;/o ""~I Phone ,t, 88 '-11 <j <I
Supervisor License Number ~(")C>c. 5
Expiration Date /0///6/ .
/ ( C.
Constr Conn. Number :?O-!,'7ffC-
Expiration Date / d ;/0/
I I
Signature of Supervising Electrician
.//L~/ ~
- - / 'T / D.
Owners Name.de.I(~ /?a ,'A1::t
Address f/I'-I 5D t, 8si . 77'17,!'
City.<t+IJ Phone~ %(,,-53'10
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 10 Z 7 0=
RECEIPT II: 5&-./
RECEIVED BY: DB:.
ELECTRICAL PERMIT APPLICATION
I~i ty Job Number [x::) -0/ <) g 5". - 0 I
~VU, uloTE FEE SCHEDULE BELOIl ~
Nev Residential-Single or
Multi-Family per dvelling unit.'
Service Included:
Items Cost Sum
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
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
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 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
Branch Circuits
"
New, Alteration or Extension Per Panel
-L
$ 35.00 3S
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40. O~ -='---
$ 20.0o-'~~
$ 36. Om rri iiii
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