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
$
$
$
$
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