HomeMy WebLinkAboutPermit Electrical 2000-9-20 (2)
The following project 85 submitted h~.S the following
zoning, and does not require specIfic land use
approval. C!...~
Zoning
q-,..:J..D -crt)
- J6AJ
3.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 7l!l\lBJ769
OFFICE: 726-3759 Authorized Signature
1. LOCATION OF INSTALLATION d
.3Ulq f-rIAA-Ui" Du'^
LEGAL DESCRIPTION
L 1/ <::-e,ylr\~ <,,,\cA-"N\
JOB DESCRIPTION
I 7 0 ~ 3. '-i ') ( C> 070 r
ZLECTRICAL PERKIT APPLICATION
. . ,
, ,
City Job Number 00-0 J '-125--0 ('
COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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 ContractorED.~ <:"r~frQLJs
Address ?...o S 'T ro..,J(", k 4'
Ci ty. bv,w-.e,," Phone .52..1- z.c.f.s4
Supervisor License Number 2..1500 :JLE.
Expiration Date
to . I . 00
Constr Contr. Number {[lc~~2-
Expiration Date
~ . LO . oZ-
'~:J-,IJ supervisi.:: Electrician
o:ers NameJ\g...~;Of\.J., P~nr\ Gsi-
Address
City_<Pf4J
.54 (
Phone H+~OI2.3
OIlNER INSTALLATION
The installation is being made on
property I .own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
09200=
32-01
DATE:
RECEIPT #:
RECEIVED BY:
"l--./P'
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
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT 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 "B" above
"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
J
$ 40.00
$ 40.0~ .....
$ 20.0()-l~;;12/
$ 36.0mM~
n..#
X:> L.l '=' CJ:I ..
... .. mo
~ ~,-n~
z.. ~ ~.u).""6
~::t: 00
o,;.J ,.... ~ ,
""'~~~@
Cl' I"T1 D'> 0 0"-
.........00...0