HomeMy WebLinkAboutPermit Electrical 2000-1-11
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DEVELOPMENT SER'l/@l!$I"cr''J;.tr''ly;wtNTsubmilted has the tollowing
zoning,. and does not require specific land use
approval. J (L-
Zoning Ll
1-,1- 0 ~
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225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
ELECTRICAL PERKIT APPLICATION
City Job NumberOb -0 (3sLf-O{
3. COMPLETE FEE SCHEDULE BELOV
225 FIFTH STREET Date
SPRINGFIELD, OREGONJtl9>]i~Signature
INSPECTION REQUEST: 726-3769
OFFICE: 726~3759
1.
LOCATION OF iN~TfU.LATION
33515 "MvV\b/(!"S7d..e
LEGAL DESCRIPTION
/70 2..1 ~Lt .3.
D8'300
JOB DESCRIPTI9N
SF ~ 1- to --.J ViJ> J+Ay t;r-
I
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
./
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items Cost
Sum
$ 85.00 3<)
3 $ 15.00 l( S-
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor EAf:,TSI{)t (l.EC, or Relocation:
, Address '~$5':>-5 3 EoSCA G-t Ltll0c
City SP~L-O Phone 7tf/~(Y9c;
"- '-. -- -'. "-
.~
Supervisor License Number Y 7), 7 s
('Expiration Date ) 0 - 0 I ~ 0 (
Constr Contr. Number ) 17770
Expiration Date )O,O<{-O(
Signature of Supervising Electrician
~~'/~
Owners Name ""b/A lc- f:::"'""S ' {;. DlA- t:.r)
Address 90 e: 0; 710 7- s-
Ci ty. ~l-t {s-f:::;--N t: Phone 7C( 7 - '5 ):3 U
OVNER INSTALLATION
The installation is being made on
property I own which is ,not intended
for sale, lease or rent.
Owners Signature:
DATE: 0 fI / 0 I
RECEIPT i: --(237
RECEIVED BY: ," ((
~ ~
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 or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installa.tion
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
I
/
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
volts see "8" above
$ 2.00
not included)
$ 40.0(1)
$ 40.0~ -l
$ 20.000~Zo
$ 36. 0Q!j m c/)
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