HomeMy WebLinkAboutPermit Electrical 2000-1-21
. .
raise as su mitted has the followin
zonmg. and does not require specific land use
approval
C-c...
f -d.-/::J
DAT : 1 2000
ANT RECD:l $ 40.00
CHANGE:$ 0.40
. CASHIER: 004
\"
"
Zonin'"
D;;ite
ELECTRICAL PERMIT APPLICATION
225 FIFTH STREET ' ';"("o"z~a Signalure'
SPRINGFIELD, OREGON 97477 '
INSPECTION REQUEST:, 726-3769
OFFICE: 726-3759 '
City Job Number ~ .~9~.O/
*
3.
COHPLE~E FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION
I ~ I..J LJ, !Yl~ j I::I-''S+ r1-~:d-
. '5P'r'll"q::,,-e lei
LEGAL DESCRIPTION
/?~;; ~ L./ 2 _ .::'c:> ;:>;::::g,'
- __ . II'
Nev Residential-Single or'
Multi-Family per dvelling unit.
Service Included:
A.
Items Cost
1000 sq. f t. or less $ 85.00
Each additional 500
sq. ft or portion
thereoJ $ 15.00
Each Manuf'd Home, or,
Modular'Dvelling
Service or Feeder $ 40.00
Sum
JOB DESCRIPTION
1: 1l.J c; ~_1I c;- e'C" U v- ~J:;j
,r::::..lr..~_ ,
Permits are non-transferable and expire
i,f vork is no t started vi thin HiD days
of issuance or if vork is suspended for
, 180 days. '
2. CONTRACTOR INSTALLATION ONLY
Services or Feeders
Installation, Alterations
or Reloca t ion: '
B.
ElectricaIContractorj":,{Ohn.\ ~AJv-1~_
, ,.Address 1...\(.., Ivv~lU~ Tl",~L
.' Ci tY€D"j"'tVCO. Phone..:J.I-, 1-<1(.,<;-=r
SupeL'visor License Number n/~ -:;)... cT L E
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 a.mps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/vplts
Reconnect Only
10-0/-,-0:1-
Expiration Date
C. Temporary Services or Feeders
Installation, Alteration. or Relocation
Constr Contr. Number;)..fo-ill LLE..
I~ "
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100U
,$ 40.00
$ 55.00
$ 80.00
volts see "B" above
IO-n{-o()
Expiration Date
SijJ:t;'J;;;;i"' '~""dd~ D
Ovners Name 13, Uy.- A-bc.r_~'€'I/...d qL_
Address -9-3 3"5 DU/.,pLI< LI"rN<Q...-
CitY~Y~I-'1C::;?kI Phone 747-SDLfb
OYNER INSTALLATION
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
,"
$ 35.00
One Circui t ,
Each Additional
Circuit or vith Service
or Feeder Permit
$ 2.00
not included)
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting-----
Limited Energy/Res
E-' Limi ted Energy /Comm ~
The installation is being made on
property i ovn vhich-is not intended
for sale, lease or rent.
. -e. Owners Signature:
$
$
$
$
"3..4. ~
::? -:>2. '
/ . ~S1;
~~. ~.?
40.00
40.00
20.00
36.00
, ,
. ... ...Q,.\:..::t;.$ '<;9("V-'~
l.J..o'\"" <9-"f'~~'"
:rsl."~
5.
SUBTOTAL OF ABOVE
~ State Surcharge
'3% Administrative' Fee
TOTAL
. .
---------------------------------------
DATE: (, 2/-e::t::? .
RECEIPT : ,?~~-? :2
RECEIVED BY: .......-:;; /'~
...../L- '
, ,