HomeMy WebLinkAboutPermit Electrical 2000-9-26
The following project es submitted has the tollowing
, nd does not require speCifiC land use
zOning, a
approval.' ~ D n
225 FIFTH STREET Zoning ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 Q_:l(, - O'D
INSPECTION REQUEST:DatnU-=')10~' "I(~ City Job NumberCC)-O/4'i7'-O I
OFFICE: 726-3759 Authorized Signature
3, COMPLETE FEE SCHEDULE BELOV
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contractor~~0~ ~PR~vE:
Address tfo'J3o 'Bl(;. ~ Cf?&=K ~,
Ci ty -f"At-L Cl!eEK Phone q;j 7 t.f.C25o
Supervisor License Number '33QO S.
1. LOCATION OF INSTA1-LATION
,')"~ ~ JJ / (-,fA -:r- tt~ t<.
LEGAL DESCRIFTION
nO 3:> 7-- It..( 7 c~C>
fL. ~~B ~ESCRIFTION
~ t(J/klJ: /tV JfAIfsr 70 d1l7E~
Expiration Date
tO/nl /6>]
Constr Contr. Number ,.:,76 - Lf/!i" C.-
Expiration Date 10 I'D I /-0 /
::?;:~~~;id~
-~ ~' I
Owners Name Ib"'^ \A!\II<C,'F P1tSS'l
Address "Sblbs-:trAl Lv 4,u f(PDr:r
I ' f J
Phone j t/ L/ qq l{- 7
City
fu~e:~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------------------------------
DATE:
RECEIPT I:
RECEIVED BY:
6 c;zbero
,>tJ>
J'\K
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
,-,0
C, Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100u volts see "B" above
D, Branch Circuits
,
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.0~ .-I-
Limi ted Energy/Res $ 20.06" 5:' ~
Limited Energy /Comm $ 36. Offl r;:l;;;
("')..#
5. SUBTOTAL OF ABOVE 5fP :::.:~~
7% State Surcharge e '6'1 f'c!:,
3% Administrative Fee [Q~ 0'00
TOTAL "-~NCl
.~- OGJ
C'fTlOOQ
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