HomeMy WebLinkAboutPermit Electrical 2000-8-11
225 FIFTH STREET 'ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number rrn - () IJ:1llt.. c> I
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION ~
! 0 Lf'6 OAk. Myra ()"" 5 PL
LE(f' r;c::,~~ON
JOB DESCRIPTION
M. t-l. 1-1. P.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. . 0015"",
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor:r~ ['::J~aQ Ie
Address J-{.l\1 rF. r t \. I ~ +\\ * I 'i?'
Ci tyEUG~r'-1 v. Phone {o'i{l- -51-=tO
Supervl$or License Number 3<61 d, S
Expiration Date~nl '
Constr Contr. Number,~ -:j-f")?<:? (!...
Expiration Date idol/OD
ising Electrician
AM.l~
:. rr.I.J~,J. D.
Address ~~ """ e
City
Phone ,]1-/';';/ L '11
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
.for sale, lease or rent.
l~O:M3IHSij~ers Signature:
: 39NtfH:J
OS'8~ $ l:O:J3M lWtf
OOOl 11 ~O~3~-------------------------------~
968l000-10At$NtfHl
RECEIPT 1I:
RECEIVED BY:
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family ,per dwelling
Service Included:
Items
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
,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
Reconnec i' Only
uni t.
Cost Sum
$ 85.00
$ 15.00
$ 40.00
S 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
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
5.
SUBTOTAL OF ABOVE
"l% State Surcharge
3r. Administrative Fee
TOTAL
One (Circui t
Each Additional
Citcuit or with Service
or,Feeder Permit
,
E. Mis~ellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
-1-
:2,.. --
$ 35.00 7'
$
2.00
not included)
$ 40.00 _
$ 40.00 _
$ 20.00 _
$ 36.00 _
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