HomeMy WebLinkAboutPermit Electrical 2000-3-14
ELE:CAL PERHIT~~PLICAll~~~g~ -~~o~6a6
. ~CBlf2 $ 143.00
Ci ty Job Number R--~ -~ r:HANGE:
~-(J()(\~~ CASHIER:059
3. COMPLETE FEE SCHEDULE BELO~{ :;Z-D (
A. New Residential-Sing~e or
Hulti-Family per dwelling unit.
Service Included:
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION '-
3'-1 IJ q ltJasf.eJ'vJ1/ltJ:/) "
LEGAL DESCRIPTION
1702-I~L/3 07';)OD
JO~2~~U
Items
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd aome or
Modular Dwelling
Service or Feeder
/
~~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Cost
Sum
$ 85.00 ~(trl?
$ 15.00~ 7i5'
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~ ~ L/IIA Installation, Alterations or
Electrical Contractor ~~ q ~ ~~ Relocation:
Address fJo 80x I 08_0 200 amps or less $ 50.00
.1/\ [L 1/ /rif~D..,201 amps to 400 amps $ 60.00
City N [)cJtl/V Phone S1(-f{& Ifr)#6wpl:4.Gl~.~~ps to 600 amps $100.00
. _0 I) </ ~~iC ~Uleg.Gh~rV~~ t:Q,~ ~JlOO ,amps $130.00
Supervisor License Number ()('1-0 R~/on({)~~rer1~tflJWe;4f,yM?~'$)(,Jl $300.00
. '/-) . ~090. )'I 52-~C{J{jffllSis8)~:egon UtiUt~ $ 40.00
Expuation Date Iv (- OC) C~/linOUrnaYObta' throu9hO~~eSetfon
n ( / ~ /llUrnb rct!Je~gp'~~ifl~5y~&?2J80Feeders
Constr Contr. Number eX 7 2! J ~ e~fort~Mtf./]!R4st~t ~~~th~n or Relocation
/ I () '~'"lb~:<"""/ '[JOn Uti/itl, e ephone .\
Expiration Date 0- - 0 . 200'~~ps"~ri';~jpgcation $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
,u
-"'D. Branch Circui ts
- -::r~~~
') 8' 1- U s+
J . "'-I One Ci.rcui t
CitY-1,4~.5f' l.~ ...,.'phone 74-::;--L,(w8' Each Addi tional
NV\J't~ Circuit or with Service
OVNER INST~~g>>~: or Feeder Permit' $ 2.00
Au]j AM//SHiJ'oI _ '
The 'installat~A..!]PAY~.:~~~/~~.. E. Miscellaneous (Service/feeder not included)
property I OW'l)A"fIYIM&;~::~/lrt1~f.pO'€d~/Hf2 -Each installation
for sale, lea~~Yq8obetnJ.OR/SA ~SPCRM WORkPl1mp or irrigation $ 40.00
',4YPCRIi BANDO^" Y'/SNO, Sign/Outline Lighting $ 40.00
Owners Signature: 00. ~D~OR Limi ted Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
Signature of Supervi .
~~ ~ (
, "--
Owners Name
New, Alteration or Extension Per Panel
Address
---------------------------------------
5. ~UBTOTAL OF ABOVE
7~%. S ta te Surcharge ,.
TOTAL 3tJ C{~ F1.--P
"Tifto)
DATE:
RECEIPT #:
RECEIVED BY:
qJ-(
?~ l'f-:;j
$ 35.00
/2IJ.cm
C('./O
q ./j iJ
17'3~ ~