HomeMy WebLinkAboutPermit Electrical 2000-7-20 (2)
The fOllowing proje'ct as s b .
zoning. and does not re U ,mltted h,a,s the fOllowing
approval qUIre specifiC land Use
ZOning j .,')r!---
Date '/ -;;..0 _ n; f.~ERHIT APPLICATION
Author,z"o Slgnatu,e kuJ Ci ty Job N~mberl"JC) - 0 1/3 ~- - 0 I
225 FIFTH STREBT
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
"'-0';4. /r;<~nr~~
/
LEG~ DESCRIPTION
i'bOZ.O<-{Z7
or 500
JOB DESCRIPTION
A-C r r 12L-CA- 1" I
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended tor
180 days.
2. CONTRACTOR HISTALLATION ONLY
Electrical Contractor AtJ' LE' EtE'C
Address ,.-:r f / / H /J //1/'
City ~tF/CPPhone 7.L~ 1'70/
Supet:vi~nr License Number.] (J.z..-J J
Ex-pirat~on Date /~///(I/
Constr ContL Number :1-0.J ~ :z c
Expiration Date /0///0/
Signature of Supervising Electrician
XJ cr7 ~ - '- ----
Ovners Name LiC
Address
50 5" ;L
,
c:: h /Z-7/ .5
..;r 17 n-S ,/T #/A
City' S-!.I'/LO
Phone 72 r;; /~'10
O~R INSTALLATION
The installation is being ~ade o~
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
-------------==~----~----------------
DATE: 0 ,if 201 0 =
RECEIPT #: 2-(0)1.(
RECEIVED BY:~<
3. COKP!..ETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cos t
B.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
Services 0: 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
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' "or less
201 amps to 400 amps -----
Over 401 to 600 amps
Over 600 amps or 1000 vo!ts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "5" above
"
New, Alteration o~ Extension Per Panel
One Circui t /_
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 .J f'oo
$ 2.00
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E,
$ 40.00
$ 40.00
$ ~.OO
$ 3li 0:9~
:D:D
::0 --< Z
SUBTOTAL OF ABOVE 3~~~
7% State Surcharge ~ ~~~
3% Administrative Fee ~
TOTAL ( -.g;~
om- 00"
0-. rTH,J"1 0 c....J
..........oo,p.
5.