HomeMy WebLinkAboutPermit Electrical 2000-3-23
,
, . s submitted h~~ t e se
The following prolect ~ require speCIfiC land u
, and does no
225 FIFTH STREET"onlng, ,17 .
_...aD"p'rova\, L.O !(....-'"" -
SPRINGFIELD, O~GuN 97^~~g___ .~
INSPECTION REQUEST: 126-3769 ~ "l;~ ~
OFFICE: 726-3759>ate ~ ~
Authorized Signature
1. LOCATION OF INSTALLATION
3 3/ { WO<Jt;a/l /1IVl1JJI/(
LEGAL DESCRIPTION
J~m~u
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 Contractor )j (' e €tiCL
Address Po (0)( {G g {p
City 4/tB 1$/ Phone 5V/-Cfh7-gro-Z 7
Supervisor License Number :Jq 8:2 S
10-/-00
QL(Z {S-e
Expiration Date
Constr Contr. Number
Expiration Daten - / - () ()
Signature of Supervising Electrician
'X ~/I~ c::~
, '
Owners Name (<<{'1 ~~
Address 7.o,?ou-i 2.D ~ I
City ~,IH..i1..i-, Phone 72(P - --Z 22"2---
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT I:
RECEIVED BY:
i
tif I
ELECTRICAL PERMIT APPLICA~S#:gl-0Q0102;~
~ WE: MHR 2,1 200u ~
Ci ty Job NumberOO - o~OEPt.;2() 114?:.. 00 I
_ tHA~~bE: 1
3. COMPLETE FEE SCHEDULE BELOV CASHIER:059 ~
I
I
Ite;s $ ::~:o g;: 061
~
J $ 15.00 t;5 0{) ~
A1
A. New Residential-Sing~e or
Multi-Family per dwelling unit.
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
ser~tC'E.or Feeder. _ \r\LlE~~ 00
NO, . ~LLE)(P'\"'\t:: .' sNOT
S~f\\geei~t ~~,~~\s PERM'\ \
I\t~fll.r.ar&\~Nffl~~~~afOR
Re:91~t~~ED OR \S po;
v , . . A'l PERIOD.
20o...\~mflO Qt' less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/vol ts -5~~@0.. 00
Reconnec t Only ...,w i'dy'un'::' UJ~(\I-~OO
c: v' I ,- ~o 1:'1\(1),
r\ \ \ t:\~ I .~I~:~ot~d by t\1e UI; are set to,.t
c. Te~~RQ~!fM\~{'Yl-CE!fu~ !~~~52.-001'
I~~~~\t)tOA~t'~'~~t~ ~1h~~~~t i on
, 0 ~B 952-001 'n caples 0 hone
20tl'~~Q4M1',~b:~ ,Note', t~e ~~~\6~ti(im
20P ~~gtr~ ~n U\\lll1 ~ 55.00
Over n~9AbE1\'dot i~~()-:~..5/-~M $ 80.00
Over bOO a~tPbr~ 1000 vol ts see "B" above
B.
.,.
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit'
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5. ~UBTOTAL OF ABOVE
7~% State Surcharge "
TOTAL 3tJ C{~ F-V
7'wa)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/30 .(;{)
'-[, 10
3 Jk ()
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