HomeMy WebLinkAboutPermit Electrical 2001-3-15
A.
. J.. V L
DATE: MAR 15 2001
MT RECD:2 $ 39.60
~LECTRlCAL PERMIT APPLICATION CHANGE:
.bASl-lIfiB :,()01
City Job NumberC>! 00 /Cf6 - ~
, I
COMPLETE FEE SCHEDULE BELOll 4<
Ne~ Residential-Single or .
Multi-Family per d~elling unit.
Service Included:
Items Cos t Sum
e 0 oWing praise 85 su ml e as 0
zoning, and does not require specific land use
approval. /l
225 F:fFTB STREET Zoning l'1!..
SPRINGFIELD, OREGON 9r1,{1,?7 ~, 6-0,1 \
~INSPEcrION REQUEST: 726-3769 .0
OFFICE: 726-3759 Authorized Signature ~
3.
1. LOCATION OF INSTALLATION
238() main .<i+
LEGAL DESCRIPTION
/7 03 6(, Lj/
01 30/
JOB DESCRIPTION
if)~ro/l Security
Permits are non-transferable and expire
if vork is not started ~ithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRAcrOR !NST,*LATIP~ag%! HJ
\(.111" " ','" ,." '.'i'< rlrc:'10n 1Il'IPlV
Eleqrical Contract.oC' S,cfnLt ro.l. .~.",cur i ty
'.J{lllCcJIUl ',..1." t\ 1'"Jl; uro~ :11-':- ..,;:;t ....r.,:
Addr.es's ;p.>:OI.1J 1801" U 2\110 0.9 OArl952-0Qi-
'-lU9lJ. Y-:J,. n."" "",'Ir ~,')I<lt ')lma rUl9S oy
C i t y;oE'u u e ne;""l'~. ,'JCJ,phone:(4 6"r~:5'6 7 8
nU.lIO,,' . . j . ".',\ .,Iolj!ir"tior>
Supervi sor.Li,cense Number f(A!f 'if. E'L
-Expiration Date
jO-bl- oJ
Constr Contt'. Number 65149
Expiration Date
,,; 'C_...) 7/0~
Si~ature of Supervising Electrician
~/~
Ovners Name IJld ~m/n//)rI
.;ddress 2~8'/) main
Ci ty 5pn'~P,'.ek:l Phone 744.(P2!fl,
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Qvners Signature:
D~TE~-:;:)-:-25/--------------------
RECEIPT #: 4(t> / <7- ,. .
RECEIVED BY: j..J, /llf-IChV-.-fI/U
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
S 85.00
S 15.00
S 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
iW)TICE'
~Q9 ic,~p..,s, '~r less. S 50.00
201Saml'is-1lto'31400_ -'!!IlP~~l: Il:TU"V,sOI'.Q;. 00
4'0'lrfa!'1P~~U>uI'P9:ff~P,~.::---- S lOO'. 00
601",amps to 1000 a'mps ~nlv" nfsl~i3'O-. 00
Dve r'V1i600:laf;;'p:'s';.v'o,Ilt'sDUNED FOS'300. 00
Relo'r1l1eC"'tYOtflYOD. S' 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
S 40.00
S 55.00
S 80,00
see liB" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permi t
S 35.00
S 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included:
1
S 40.00
S 40.00
S 20.00
S 36.00
3&'=
5. SUBTOTAL OF ABOVE
,% State Surcharge
3% Administrative Fee
TOTAL
:3l" em
25~
10'6
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