HomeMy WebLinkAboutPermit Electrical 2000-1-7 (2)
The following prolect as submitted hes the followln
zonIng ano aoe~ p..:>i rtaqUlr.s Sp6citic land use
approvai .
Zoning I 1) IZ.
Date 1-'/- U"D \
9~;~~~t9%'ifed Signature i(IJ
TRANS3.: 01-0000189
DATE:JAN 07 2000
AMT RECD:2 $ 42.90
CHANGE:
.ELECTRICAL PERMIT APPLICATI~SHIER:003
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
">:;J:;l:2 r=:-"~-;,/-+-~;,,
,
,
LEGAL pESCRIPTION
~ '-?C"l",,"'~ ,,;..-r.
IS~'7~1 &'2~
JOB pt: ION
H AC
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is s~pended for
180 days. . 7F OO-tlOc.
2. CONTRACTOR INSTALLATION ONLY
.1
I
Electrical Contractor -r- ~ J'?,.c-fr.-r Iv. c
,.
LA/. 11::J;h ~ f :?
Address '-lobs
City /:> <
,
. Phone
{,1?7'5770
Supervisor License Number ~ 9: ,-::!..5
Expiration Date IOhl~f
Constr Contr. Number / rJlf r;;;;.. q
EXPirati~~ate ~11/l?O ..
Signatur_~~u~~ectrician
Owners NaVe <7 v S.. '^ -r:_ ~ ; VI c.
./
Address
City
. Phoner4c".:..LJ:J"3&'
OVNER INSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: J- ?-&'<:J
RECEtPT. 11: ~/-cM~ /8 "7
RECEIVED BY: ./ / h......,..~~
- 7v' - VPO",
3. COMPLETE FEE SCHEDULE BELOI/
3':' 'J Job Number ~LJ,.dIIf<:>~.L> I
.B.
Services or Feeders
Installation, Alterations
or Relocation:
A. New Residential-Single or
Multi-family.per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder .$ 40.00
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to. 1000 amps
Over 1000 amps/volts
Reconnec t . Only
$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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB"
above
"
1.
New, Alteration or Extension Per Panel
-
$ 35.00 35'
One (Circui t
Each Addi tional
Ci~cuit or with Service
or' Feeder Permi t :l.
,
,
Mis~ellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
~r. State Surcharge
3% Administrative Fee
TOTAL
$
4----
2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
31-:::-a
:J.~"'"
i - 40
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