HomeMy WebLinkAboutPermit Electrical 2000-7-11
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AMI RECD:2 $ 53.90
CHANGE:
CA8HIER:QOl
the following
, .\ted has e
, 'ect as subm\ cifie land US
-r\16 following pro\ not requiTe spe
, " nd doeS
{,oping, a , 'C:.... Q....." I
225 FIFTH STREET ".\lPro\lal loning ~ _ crO "LECI'RICAL PIhuiIT APPLICATION
SPRINGFIELD, OREGON 97477 --1- II ," " ,'" , ' ,
INSPECTION REQUEST: 7QfJf2. ~ity Job Number()O -(Q 1077' -0 I
OFFICE: 726-3759 ", "I\;.Jlil.\:lCl Signature
rw' 3. COMPLETE FEE SCHEDULE BELOV
1.
LOCATION,OF INSTALLATION
, (00 W 4 (5{ Sr
, LEGAL DESCRIPTION
)/O~:SL. 6/10 ~srorn)
The installation is being made on
property Io'Wn 'Whi~h is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: 7 -/~- t57J '
RECEIPT #: c:2 b t:IO
RECEIVED BY: ---IJ, {'y)O ( .f-> {if} ()
A. , Ne'W Residential-Single or
Multi-Family per d'Welling unit.
Service Included:
,
,
Items' Cost
Sum
1\ I i JOB DESCRIPTION, ~ 1000 sq. ft. or less
~ I!/?: l~ ,?~..J'S ~ (;K\. ~~ ~J...~ E~ch addi tional. 500
. .._"......",.',...c:, ",,-,'Ie v ~4.... sq. ft or portIon
rJrr~iwsUliiltelCrf9n;~tl:;?Q.:~;f~~~~i~ tin~, expire ' thereof
ilf)t~6r,kOfi&En.ot1',st~C!'!";~e<!l<:}f;iC,~~iJld;11.q days Each Manuf'd Home, or
6fOi~ssu'anc;e.i O)TYltfn1".9S:"'~i ~~i:~!:Nj;P_D~ped for Modular Dvelling
;U800~ays:nay Obtaincopi8:: at tl1,; -i'l.lles t" Service or Feeder
calim~ifi0 center. i~\lotE' Tnt;- rPI'-"lnn"'e
2~un6nNTRA€IORrJNSTALLATION~ONLY
, ,0'__ '-- .".... v "'~Ull V!.lill} i\iUUTICanOr
::::::f~;~;f6~;~})~~
Ci ty FVV:7~rV.e d@Phone .s7f - ,J~9?Cio
, /
Supervisor License Number cf7 zcj 5
Expiration Date /O/c/ M /
" / '
Constr Contr. Number \LtS07-'-/
Expiration Date ~~~~~
I - I
. Si~~~su~~ctrician
j"\/ /. -
f{>'Wlers Name ~ Jo.5~~// 75LdAC/'"
1/'
Addre~s j2S-';;'5' W/$/'/.4- ])12.
\ City E~qLyVe.: PhoneSW-3~-9For
~ O~INSTALLATION
$ 85.00
$ 15.00
,$ 40.00
Services or Feeders
Installation, Alt'QRH.:I~aOgLANV
o r R~~i1NiliJNV8V 8180 a30N3~~OO
2 :tON 81 11'~!{.31~k~183aNn a3ZI8<$H$61DOO
2~q~~eJl ~ij@1xai~)1V'HS 11~8~ gjPli 00
401 amps to 600 amps ''"''I"SJ.Q.O.~OO
601 amps to 1000 amps .~v~~OO
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
B.
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
,.
Ne'W, Alteration or Extension Per Panel
/ 'Jc"~
$ 35.00 ::J...)'
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
7
;f~
$ 2.00
not included)
$ 40.00
$ 40.00
$20.00
$ 36.00
11 'i f<?2
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