HomeMy WebLinkAboutPermit Electrical 2000-8-9
-<.:.-< -.
f... L..
DATE:AUG 09 2000
AMT RECD:2 $ 44.00
The following project as submitted has the following CHA~G~ :
. . zoning, and does not require specific land use CASHIER. 0.)2
225 FIFTlI STREET. approval. (J\ (L ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning U
~~~i~~IO~2~~~~T: "'r1a?e-3769 3 ,. q -(1) Ci ty Job Number (}D - 0 I~d- q; - 0 ,1
~ 3. COMPLETE FEE SCHEDULE BELOY
Authorized Signature
1'/1 LOCATI~lj OF IN~TALLAUON
I If!) % 5 '- '/ 1llAt-/(5 H71- K j) r
I
LEGAL DESCRIPTION . \
II Od- ~) ~ I 0-0 LQA)"""V .
f 14~1
.f) y-~of, gE~CRIPTION ?t<l# A; lk--r--
~ JJ~ ~vIU. mnC}-/ .
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
Electrical ContractorL.R~ Brabham, Inc.
Address 68 West "Q" Street
Ci ty Spri ngfi e 1 d
Phone 747 -:6638 .
Supervisor Li~ense Number 14735.
Expiration Date
10/01/01
08699
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number
Expiration.Dii~ .
i2/18/00
Si~~ Of, superVi.sing Electrician
~ ~.-JL.-
o....n:1"s Nam~flVVt'vne. .....7 M /}JIVvf)GtJV1--
Address 10g'S~)0/~~f-M ~d '
City.SvW. Phone'7!.fblg7ID
v U
OVNER INSTALLATION
The installation is being made on
property I o....n ....hi~h is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT U:
RECEIVED BY:
% -,1 -- cJV
J-~. \.1 Y.
.~
.A.
New Residential-Single or
Multi-Family per d....elling unit.
Service Included:
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
Reconnect Only
200' amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
I
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
-
#J
$ 40.00
$ 55.00
$ 80.00
see "B" above'
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation .
Pump or irrigation
Sign/Outline Lighting
Limited. Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit '
E.
5. SUBTOTAL OF ABOVE
7 J7. State Surcharge
37. Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
4~r --
~tJ(f)
/ /,-;{ ()
1"'1- ( ()()