HomeMy WebLinkAboutPermit Electrical 2000-10-30
Tl1~J !olfnwing project as submitted has the following
LI."!I'lg i;1na does not require specific land use
djJ~rovC11 '- T)~
. Zoning
97477 IO-'J)o-o-v\
71.'6_ ~:~ <j<uJ
h,Ji!IUII.Ll:lO Signature
3. COMPLETE FEE SCHEDULE BELOV
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LO~TIO"N OF, ~NFALLATION
~Ll ~ .'\...o-lL
LEGAL DESCRIPTION
1'M"""J.~"'?' Od-/O,j.
JOB DESCRIPTION
<P-Il...
Permits are non~transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor&hf,'sher t:Ji'..t..:r:1'Ie.
Address / R () K""'9 <; h u yo v J!) uP.
. I
City e,": '1<7." P, Phone t: (',9-79 ']'9
Supervisor License Number .:l!L.'7'1 - .S
Expiration Date //)-0/- ,0/
Constr Contr. Number <J~:z 71)
Expiration Date /-;J,)-!):2--
Signa~~ pf ~uperVis\ng Electrician
\.--~~.~
Owners Name f,~1'>-k~
Address f.D ~ ,..,;;tb
Ci ty~. Phone '1-<-14- ~~
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----------
DATE:
J..h\.o.t..L.:l" t:
RECEIVED BY:
.:.ity Job Number
J;:LECTRICAL PERMIT APPLICATION
OO-OI?3/1.-01
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included: .
1000 sq.ft. or less
Each additional 500
sq. ft or portion LJ
thereoft
Each Manuf'd Home. or
Modular 'Ovelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
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
c.
Items Cost
Sum
$ 85,00 .!L
$ 15.00 (.()
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps-'QT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00 'to
$ 55.00
$ 80.00
volts see "B" aDove
.~ ,.
. .'
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Bach 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
~% State Surcharge
3% Administrative Pee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
\f 5 ...
I ~,~S
.r:;~
R-.O 2..~()