HomeMy WebLinkAboutPermit Electrical 2000-8-16
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The followmg prOject 8S submitted tlas the following
.zonrng, and does not require specific land use
approval
Zoning L. T) fl-
225 FIFTH STREET Date 'i< ~, (,- crD ,
SPRINGFIELD, OREGON 97477.. ~
INSPECTION REQUEST: '72'1i'!'3n~,gnature
OFFICE: 726-3759
2
DATE:AUG 16 2000
AMT RECD:2 $ 22.00
CHANGE:
CASHIER: 059
ELECTRICAL PERMIT APPLICATION
.::ity Job Number () 6-00- 7~ ~
3. COMPLETE FEE SCHEDULE BELOV
1.
LOCATION OF INSTALLATION 11
'-? ~() ().h>! rP9>A'P~
(
. A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Jl)B DESCRIPTION /J AnBf?oiON"iHl::9Cfi ,a~ 'lol.QOO,,!jq '.~ t: or less
--1 J av.. ~""-- ~ AI/.~~:"??':''}ptedbYthe⪚)I'1-l!4t~tlonal. 500
. . (.\I~ 'm' n ~tel. ThOSerule%qll'eBstro-"portlon
Perm! ts are non- t ransfer~9ii EOthrou 1':l~~~0'
if work is not started w'fl~ . i~"I~~'01I:I!;t6d Home. or
of issuance or if work igo90s~l?IMll{lY In(NCotO~.th fij\!l~fIOnl?welling
180 days. calhngt'liecen er. '.. .e.t:JA ce.. or Feeder
. numberfOltheOT6gonUtlll 1'1011 CtUlv"
2. CONTRACTOR INSTALLATION ONLY;p"t...i~' ""1l?""'s.?Nices or Feedert
/IJ /7;1 ,) Installation, Alterations
Electrical contractor~4A~jr~. ~~~or Relocation:
Address !? 0 . &7 -'V/C . 200 amps or less ~
/i) . 1M ~ ~'---, 201 amps to 400 amps
City (V;..M~Lvevr Phone q{ <; ;:? P.5]f.. 401 amps to 600 amps
--- \ 601 amps to' 1000 amps
Supervisor License NumberlOTICE: Over 1000 amps/volts
THIS PERMIT SHALL EXPIRE Re--:tCilltiepltKOnly
Expiration Date .. ,-"--'--- ....-~RTI-JISPc:RMITlSNOT
""'.." I IvnlL-L...LJ .....,,1..'.... C. Temporary Services or "Feeders
Constr Contr. Number O'C~r(f.v1~I<<-d.:DORISABAND(:tiiS.ta;jjf:'ation, Alteration or Relocation
Expiration Date fij - /~NY.l~DpYPERIOD. 200 amps' 'or less ~ 40.00
. - i!.~ 201 amps to 400 amps $ 55.00
Signa~~f~;;~~~ician ~~:~ :~6 ~~p~o~ra~g~o volts ~e:o~g~ above
/ ( r- _ J.-fl D. Branch Circui ts
owne;s Name rvfl-tA[)~B TI ~
LEGAL DESCRIPTION
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Address
iJ ar.L '+4;).S
New, Alteration or Extension Per Panel
$ 35.00
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
02>
5_ SUBTOTAL OF ABOVE :;l 0,
7% State Surcharge 1.4G
3% Administrative Fee .6tJ
TOTAL ~ <>l.. <:J>6V
Ci ty 6- "",?-..-LL- Phone
OVNER INSTALLATION
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
The installation is being made on
property I own vhi~h is not intended
for sale, lease or rent.
Owners Signature:
-----------r---------------------------
DATE: ~ 16100
RECEIPT 1I: ';lJV-l ?, .
RECEIVED BY: lJ.ll
$ 2.00