HomeMy WebLinkAboutPermit Electrical 2000-5-3
" 6
DAIE:MAY 03 2000
AMI RECD:2 $ 93.50
CHANGE:
ELECTRICAL PERKIT APPLICATIO~SHIER:042
The following projacf as submittad has tha following
zoning, and does no1 require specific land use
approval. /l
225 FIFTH STREET ,l....G
SPRINGFIELD, OREGON 9747Tontng
INSPECTION REQUEST:Datnli J7liP <-~- 0"0,
OFFICE: 726-3759 Authorized Signature "f)~
j.
JOB DESCRIPTION . . '. )tOOO sq.ft. or less
/t7/'7.PLF/~ jfr-,..,-//CE tl'l(/)"ftw! I"........./~ach additional 500
, sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular 'Dwelling
180 days. Service or Feeder
LOCATION OF ~STALLATION
/ \.( Y ( /'--1 ~//v
LEGAL DESCRIPTION
J7..?~~~..2 . ~ '::;'~
. -
1.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorAL1Lt=' ELt"C.
Address ,~f / / /'-? /J //V .
City ~r/c.p
Phone 7~t' ~7()/
Supervisor License Number J (JL-.J J
Expiration Date /IJ///O/
Constr Contr. Number ::l-cJ.J ~;2. C
Expiration Date /0// /0/
Signature of Supervising Electrician
./! ~ ~-:~
---..
Owners Name A,?A>.o'V ~'J,cy
Address /".- V f ,.>>-;J ....dV A
Ci ty .--f"vP.r~ tt? Phone 7,><' ~ ;f ~J
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:_ 4"?'~
RECEIPT 11: ~ /t,I'!?,f?
RECEIVED BY: ,/ /......--.- _
" ' '/r ,--~
A.
City Job Number 99~'(!!)/
COHPLETEdFEE SClHE~ULEl BELOV -"'*,, '.-..r..
New Resi entia -Slng e or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
$ 85.00
$ 15.00
,$ 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 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit / $ 35.00 }.}':c?o
Each Additional
Circuit or with Service
or Feeder Permit 25" $ 2.00 ,)"6.t:?~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 8' .f'.o CJ
7% State Surcharge r,'l S
3% Administrative Fee .2 j..>
TOTAL <;; .,..5<7