HomeMy WebLinkAboutPermit Electrical 2000-4-27
The follo~ing project as submitted has the following .
zoning, and does not require' specific land use. .
, approval. , H D ~
225 FIFTH STREET. Zoning .
SPRINGFIELD, OREGON 97477 .. ~- 2-1~crv
INSPECTION REQUEST: ~-J76;.. ...c~
OFFICE: 726-3759 Authorized Signature f)
3.' COMPLETE FEE'SCHEDULE BELOY
'Ci ty ,Job Number~O"00'10?-(j t
1. LOCATION OF INSTALLATION
JOI & f.Sl'. APi A A. New Residential-Single or.
;".1 I t:,~MuJitdvF.;.a}.lLi;L~'J\PE;!;jus:hu~}~~Qg uni t.
LEGAL DESCRIPTIONfollOV\lrill@$"M~@~tel~.mtee\~egon Utility .
if P L (3 X . i\lotification CenterJhoserules are sMft'V~.. Cos t Sum
.' I OAR 952-nOl-OOiO through OAR 952-001-
~O/BR~ESC~PTI~ TC H ~ 1J u090. ~ol~9r9% a~WfrhoBre.st~dee n-.:!~~ ~~. $ 85.00
. calling lfl& (;e~'lm~IJ'T&~?-11e telephone
Permits are non-transferable and expire nL\mberfQ~\r~e~fggorP.afiht!j~~htification $ 15.00
r,.,-:..l.~", -' ...'~ t'j,f~(\ f-:r<,r-. ~.~n~i1\
if work is' no t' started wi thin 180 days 'Each' Manuf'd HornEt"or
of issuance or if work is suspended fdr Modular Dwelling
180 days. . Service or Feeder $40.00
2. CONTRACTOR INSTALLATION ONLY. B.Services or Feeders
. . . Installation, Alterations
Electrical Contractor fAS/SIDt:. f{..(L, :rIVe, or Relocation:. .
. .NOfIC&~.'. .
Address ~S,)S3 f30SGA 6-6 L-Alvt- 200 amps or less'
.. THIS PErllVif~~~>mIFWd~j~WORK
.' phone 7lfl-IYClqAUTH~~I1t~(f4W~~1.tt<Pla~. . 'rVl~~J0T
. . ... . CO'M~NFW:.Q4.A~BS tP"lr~i 0 a.J!1.I?s
Supervisor License Number' 3 S 17 s ,. M .... ~'Pnrtf~~~' ~m.ftl.gR
. . ..,.. .' ANY 16Q f;}m~~~~~~t Only .
Ie) '.'1; ol .
City
SPFLD
Expiration Date
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
j/7770
C.TertJporary Services' or Feeders
., Installation, Alteration .or Relocation
Expiration Date
i 0'-)- ()O
.':.200 amps' 'or less
. 201 amps to 400 amps
. Over 40l'to 600 amps
". :'Over 609 amps or 1000
D.. Branch Circui ts
Signatur~lPfJ;b:g Ele.etddan
Owners Name ~ 1 ~ J r?tt
Address lOin E<. .
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
'" ,."
:~ .
~ '.. N~w,Alt~rati~n or Extension Per Panel
'$ 35.00 ~. ':.
. One Circuit : .\'
Each Additional
Circuit or.wit~ Service'
oi Fe~der Permit
City
Phone
OVNER INSTALLATION
The installatiorr is being made on
property I own ~hich is.not intended
for sale,le~se or rent~
E.
. .
Misc~llaneous (Service/feeder
~Each~installation'
Pump. or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
Ovners Sign~ture:
. .
---------------------------------------
'""
5. SUBTOTAL OF ABOVE
. \ 7% State Surcharge.
:3% Administrative Fee.
TOTAL>'
. DATE:
RECEIPT #:
RECEIVED BY.:
,,-:. '"'
$ 2.00
not included).
40.00.
40.00 :
20.00
36.00 ..
$
$
$
$
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