HomeMy WebLinkAboutPermit Electrical 2001-2-8
JOB DESCRIPTION
SU/l.nlAr;r {lO, /I IV""
, -
Permits are non-transferable and expire
if ~ork is not started within 180 days
of issuance or if work is suspended for
180 days.
w
DATE:FEB 08 2001
AHT RECD:2 $ 22,00
CHANGE:
CASHIER:059
ELECTRICAL PERMIT APPLICATION
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
O . t Ins talla t ion, Al tera t ions
Electrical Contracto" ","(,.,qU,d (j 'rfrOn~vyor Relocation:
Address P.O. f?J/J1' L/O.'Jt-/( . 200 amps or less
iuup 201 amps to 400 amps
Ci ty '1( Phone 5"1/ :'{'ifi./-'10.f'( 401 amps to 600 amps
601 amps to 1000 amps
Supel'visor License Numbel" ,53gl JLE Over 1000 amps/volts
Reconnect Only
Expiration Date /O.{ 02..
. '~ed has 1M following
. ct as subrOlu d use
225 FIFTH STREET \l1etollOwingprOle not require specilic Ian
SPRINGFIELD OREGONz9\i'till7l'nd does
INSPECTION REQUEST: apl1'l'6".l3769 L..'i)(2.. - Ci ty Job Number 0 C>-
OFFICE: 726~3759 . zoning- , {....o\ !J;
t.... u.. \ 3. COMP!J'TE FEE SCHEDULE BELOY
1. LOC~ION OFc5NSTRrWION a,Ulb ~
_1.11 lLo'jIJ . tl bUIY''Il'1"J Sign .. A. Ne~ Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION 0--/ 0--1- Service Included:
~-::ro~ :ro:, '-l3 -<., CT Items
/Y
I
Address P.O. (60ll 1-'-125
City tt'j"l~/1"-' Phone 5'-11'
OYNER INSTALLATION
OI~?:'Cr-OI
Cost
Sum
$ 85.00
$ 15.00
. $ 40.00
$ 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 $ 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
.'
New, Alteration or Extension Per Panel
One Circuit
1'1<1' UtLO Each Addi tional
Circuit or ~ith Service
or Feeder Permit
The installation is being made on
property I owp. which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: :k S ~Ol
RECEIPT t!: .1'1 CI.'\
RECEIVED BY: I,I~
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limi ted Energy IRes -1- $ 20.00 j.tl.{JO
Limited EnergylComm $ 36.00
5. SUBTOTAL OF ABOVE fJ).00
7% State Surcharge }. '"/0
3% Administrative Fee ,l.LO
TOTAL l../L. 0 ()