HomeMy WebLinkAboutPermit Electrical 2000-9-25
The fo\l~wing project as submitted h?C thp tol!0winQ
zoning, and does not require specl1IC lani,! IlSG ,
approval,
Zoning
97477 q---
D~G-J7\j;
Authorizea Signature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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3.
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
170'L '3L.IZI
OC)L(OO
JOB. DESCRIPT+ON
400 50-Ve ,. 1<; c (~l~+-C
I
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 tvA
Address
. Ci ty
Phone
Supervisor License Number '10235
Expiration Date In -1- 00
Cons tr Con tr. Number !\.J.A.
Expiration Date
Signature of SupervisingJE;AF,trician
, K:/J1/)4~ :D ~ ~~UP
Owners Name Lu,'III1JtNt/&./I4- ~rk. D/~'
AddressZOL> S. ^^',U_
Ci ty SPRI~ r:lIP,r.
Phone 73b -'I'tJI J.
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or reQt.
Owners Signature:
If
---------------------------------------
DATE: 09zs-0o
RECEIPT #:
RECEIVED BY:
3-z-t?O
brl
,__.._"_,~__ ELECTRICAL PERMIT APPLICATION
COMPLETE FEE SCHEDULE BELOV
City Job Numberc/O ~O/l....r:Sr- D (
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
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.
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00 50'-
$ 60.00
$100.00
$130.00
$300.00 :
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
, '
200 amps' 'or less $ 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
D.Branch Circuits
,.
New, A1teration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t /5
$ 35.00
$ 2. 00 3 D .-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.1
Sign/Outline Lighting $ 40. -I
Limi ted Energy/Res $ 20. ~ ~
Limited Energy/Comm $ 36. ~oJ
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5. SUBTOTAL OF ABOVE -#~~!:ti~
7% State'Surcharge ~~I'..) 6
3% Administrative Fee ~~:".._'c5
TOTAL ~A~.w;r 2) t3
. ~ ..' :::s ;0 c5