Loading...
HomeMy WebLinkAboutPermit Electrical 2000-2-29 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION J. '11/p Old OO.JIIlI7i /..../j/J1- ,A. New Residential-Single or Multi-Family per dwelling unit. Service Included: ~~~~N0. JOB DESCRIPTION 1.-rl1 [-In' I'.I1I'Yll'r <;/t'.IIYdz; <;,r~ 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 contractoQ,\flflrib',rL 4,1 ,,,J'linUJr AddressJLn [)Yo,,- Q05t./t . City~1i." Phone 5'1f-!'/'K<-{-lJ01--'if Supervisor License Number ./33/ )I..F Expiration Date tI/02. C. Temporary Services or Feeders Installation, Alteration or Relocation, Constr Contr. Number q'llt/S The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ----------J--j------------------------ DATE: .d... ~ 08 RECEIPT 11: .,...... CjJ . RECEIVED BY: W f;+-ovJL';, d ELECTRICAL PERMIT APPLICATION ' Ci ty J~b Number 1 q- 0 { 51 (,:- tJl. 3. COMPLETE FEE SCHEDULE BELOV Sum It ems Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Rome, or Modular 'Dwelling Service or Feeder ,$ 40.00 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 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circui ts Expiration Date ./f2-/ fY} , Si~ o:~...!-lectrician own:r's Name' {11m rt 6. Un(}, if Address (J, f). I1DX :; l/ 2-5 ~ . One Circuit City Ii (11(1/ p. Phone 5</ / ~ 1-'1'1- ZI.PIJ 0 Each Additional Circuit or with Service OVNER.INSTALLATION or Feeder Permit $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 volts see "B" above .' New, Alteration or Extension Per Panel $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 U),uO $ $ $ $ 'LO. 00 J. i./v ,~ 'L1.,~ l.1... :::I: Z ro c:n- LO Oc..Joo.-Jzr., :Z(.!JIOWWt- Q:; <I: W C...p'... :2: 0 WQ:;Q:; u..>-O OCDOLOl!lCt::O Ct:: "d' ::Z:<J:O OOl.1...,-I~a...l ...JOOQ:;W..-l WW Q..QO :J:1-I::W::....oOO ....... >- u.. :z ,., CIJ 0 (.!J<I:IOu..WO O:Zc:l O~' t-H ,-I HN a:::-.J >-::>N >-a..<<>-t-o::........ cJ:OOZ-JHWO Q.. O:Z~CIJO .....0 0 >- >-N a: >- :z ZH WOO CIJ :2:N O'JO 0- =:Ia.. OIXl W ...JW Q Wu.. ::> Q:; W o Q u.. . . r... -~ , f\. ,. l... -40.\.. .J j--....-:J( '\ ... '-'/...'-"r\.~"" r I ....- ... -"..,... J ."-. \ [, ._.1 J ......i,;.)" . _i ..