HomeMy WebLinkAboutPermit Electrical 2000-10-31
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DEVELOPMENT SERVICES DEPARTMENT \ s submitted has the following
Tl"lr.. fo\\OWlng prolee ~ require specifiC land use
-'o"'IlL: ano does no
L4' ~
i;ljJi-'I\.lVal i-r:>fZ-
Zoning
fIr 3/-0"7>
9741'1\e - ~
72/i,,3;Z69>o Signature - .
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
., Ir
Modu~aBIIR):',enipg
Serv3!!;!7f,8r (Flt~d~er . , S 40.00
'I) OA 8t:0r. C GOore
. !:tP..~ 'r.a~ .c. "
B. Serv':I&!s ot>5Fee eX's r,,' ',~< J .
Ins taapl~ t\i<on'17'vkh'eX'a1t Ions I." ('.;ur, .
';111" -, ft -Jlth 'I.l& I
or Re oca.t,-ion:!Yob'a,' rOUf)~ ~ ,t(,
1]U"b'V"'€c ('.n ~IJO .,::."
I Orfo . &nte/ COPie< :<lA<I!;. '
200 amps If!I:JteS~r",~(lVol'" .' 01 ,S<-~()~OO
201 amps 'to'.'400 ampS';'I.,,:"~leS 60'WO,
. . .'1. J'H)' .....{
401 amps to 600 amps .:""J '\lo,SJ.00f,100 J
601 amps to 1000 amps' ". 'I Sl-30'"O,o
Over 1000 amps/vol ts 'S300. 00
r. Reconnect Only S 40.00
"/ro...
v "Co.
~ r~/Sc. ~emporary Services or Feeders
A'I P~A'Installation, Alteration or Relocation
II-{, ""ISL.
e OAIZp;. '1A,l.l /:::,.
o JMME:, 20QI\,'i'WPf~Ol{A!~~s S 40.00
,,\ ,: 'I'Y lvCr:.?-,ol amps]'}to, 4007:'!IIJPs S 55.00
Signature7 of Supervising Electribtpn . 780DA,I,Q.~IRIi..4f)1".(~r6pgV.f~rfs'..JR:r S 80.00
r Over0600"amp~'Lor (IOOOO.voltS see "B" above
" 'U, ',vcDf:OA" I
D. Branch Circuits
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
:3 Ll::V,., h41CD r\ 'D 0..
LEGAL DE1;CRIPTION
I ?- ()-::l .) 00 f.l..
()Of)O!
JOB DESCRIPTION
S 1= t<-
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLJ
Electrical Contractor ~
Addre1
City ~
Supervi r Licens
EXPiratiJr Date
Constr Co)tr.
Expiratiol
Ovners Name r ~OJ ~ h _ ()CA~
'J
Address * 3210:1 wi",Sl0I.o.J 'Iulf'
Ci ty '5fr'V\j-Clf'.IJ. Phone 1'1.4 -II l-fi
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
(' ~ f')~
----=-----------~--~-------------------
DATE: I(}-:>' I. ~
RECEIPT 11: :'I~p;q
RECEIVED BY: lJJ A.
'1
o
AMT ~E~f.H $7111'5100
SPRINGFIELD, O~:
(S€IlSR'tER'/ig59
FAX (541) 726-3689
~~CTRICAL PERMIT APPLICATION
City Job Number
o () -01 ;),4L.l-O)
3. COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
S 85.00
85
3
L.Js
S 15.00
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
S 35.00
S
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lightin~ S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE '/~ 0.0&
7% State Surcharge ~_ 10
3% Administrative Fee j ,<.jU
TOTAL /4 .~.00