HomeMy WebLinkAboutPermit Electrical 2000-1-28 (2)
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SP.FIELD
3
DAT~:JAN 28 2000
ANT RECD:2 $ 55.00
The following project as submittad has the following CHANGE:
zoning, and does nof require specific land use CASHIER: 042
approval.,' L-l>. /I
I) I ~ ELECTRICAL PERMIT APPLICATION .
ZOning ,
rJ.$~ ;J :::~J~b Number O()-(f)(~& -() {-
Authorized Signature --
j. COMPLEtE FEE SCHEDULE BELOV
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-317~!I
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
1%11 SCoTt Road
LEGAL DESCRIPTION
/70 ~ :;:25~u o-v <eo-n
I
JOB DESCRIPTION
c:J.DO"q Se.r'tJ/a, ch/1/YJoeJ
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Permits are non-transferable and expire
if work is not started within 1BO days
of issuance or if work is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor~{{9PJ1e trJettrlCJ
Address /80 Mo-nme..>
"
Phone 3'1if.-3SbJ
City
E Ll.p/ ene..
v
Supervisor License Number /09;;'5
Expiration Date /O/Ol/DI
. .
Constr Contr, NumberCCA '1D;).C>O
Expiration Date
3/17/0/
Signature of Supervising Electrician
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Owners Name J"llhn 1'\"'1111\'
Address (r; <{ q S (])it ILJ '
Cit&f(r/1(Jji' eM Phone 017~21) I
OVNER IN~~LATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
I
D~TE~-----~TJf;c-~cr-cr---------------
RECEIPT 11:' ..' _---kh
RECEIVED BY: ^ n I ~./
. A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Sum
Cost
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular"Dwelling
Service or Feeder
,B. ~U:g1)~~~;~Li~M/Jtljuao
q sJ,MRWl!!.%ltli'OIUl\!)A.Mj'f,~!lItJpj$qwnu
iOo-cesS J~f;~41(J9 UlelQO ~~~LjI6u!lle:J
'~~J ~J~;:IQJYo"oo-~~~~610 50.00
'~!I!lAAo6aul!Ji3 'JlMItPS u 0 '1 60.00
1 "'4(\j]:eampsj ~~ d{Hapsa,~:':'ci:!lO .100.00
601 amps to'l"'601n~~,.._ 101$130.00
Over 1000 amps/vol tS'~.'-1 >"f $300.00
Reconnect Only $ 40.00
$ 15.00
$ 40.00
I
~.
C. Temporary Services or Feeders
. I~Cln~~lation, Alteration or Relocation
THI~Og~MpSl~Ll;.8M $ 40.00
AUT~~I.i!l!!~^~AE!<W-l~~!lIHEWI"\R& 55.00
COIv@,.YC1~C4P.l 'PO t)cJ01/a~1 '$ BO. 00
ANY Peer ~a'<Pfil.hfMB,qj1) Ov l:ee "B" above
OOAYPERIOO' FOR
D. Branch Circuits
,"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
"
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~~.O~
7% State Surcharge .1'. :i"9
3% Administrative Fee /, ~O
TOTAL -r5. () D