HomeMy WebLinkAboutPermit Electrical 2000-5-22
. '
The lollowing project as submitted has lhe lollowlng
loning. and does not require specific land use
approval.. l-O I"L-
ZOning.
6-::l.:>--~
~
1000 sq:ft. or less
Each add'.y,t ional 500
sq. {t~i,o'i-'f,'l'ortion
,) "'N~ .i,&
ther,eo:.f- '0 s ~ ..
.....~'-, 'T( 't (i ~o,... .'
Eacl},_Map.~f~9 .H9,~e,.gt .
ModTr1!ar')tDweHiJig ,.(>6,
'.II'>. .' ?'. ///::J '~/~. ? (/ I .
SerV_1Ce'i'.c>.r~IFeeder "s Ij';>" ~. . $ 40.00
""'/'0' '-'Q~ v..~I~.' .~. ,. i. ''''f'.. .
. '\ '1"/)... ~'f)~" "-lIt; U. '<~ i9y
2. CONTRACTOR INSTALLATION ONLY .B. SerVlces.or"d'eeder~'<.I. -.'., (l,
/) r Il Installatlon;6>iL'i"erait.ioh's.:: ".,:",.
Electrical ContractorL!/flt/dLr~l)v'4L4I Jj7c. or Relocation::U'lu;' 'I},. I..,., -ti:'"
~ / .' 1/;" ' . ('I
Address /_0. L,O'Y' '711: 200 amps or less '/!b/~/." ,;$' 50.00
(!#/ 201 amps to 400 amps '~qN.($ 60.00
City &'IC~tJtfw Phone i'1~2..J'5'~ 401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
.Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
. -
..
Date
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
41tftJ'Y'ed Signaluro
726-3769
1.
LOCATION;9rr INSTALLATION
?/1 1 'f/!/-V'i'/ ~ #/tlC
LEGAL DESCRIPTION
JOB DESCRIPT~~ ~
!/II C r'l4,J// '0' ~>;i;!!,4/
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Supervi~or License Number
Expiration Date
Constr Contr. Numrer 0' ~ 9/tJ
ExpIJ:ation Date 'Y -1'0 -IJ./
Signatu~f Supervising Electrician
,. A<) ~ ~c irJ~/1 .
Owners Name ;:: /,fry#' sY foUl5
Address
City
Phone
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
---------------------------------------
DATE:
RECEIPT II:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 06 - cJ() J ~~ tJl
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items
Cost
$ 85.00
$ 15.00
C. Temporary Services or Feeders
Instay~ation, Alteration or Relocation
1< 0;.,
200 ~J's'I~~less
20fwmP%'09.to.;400 amps
6'~r'~l."t;9)-600 amps
~PflEr~60~am~ or 1000 volts
76) i1rC'~041. ~((
D. Bra\?eh Oi>b}u~s ~
"Ir..o~ ~-& '9r,y, .lJ9~
New, Alt~dti~n ~~~~r.nsion Per Panel
Z? '<i'1ta ~t$) .y~
One Circui t 01t<s: ~J:fS.IpO-9} 35.00
Each Addi tional ~,(: 11 !If-
Ci rcui t or wi th Serv~e 0;-
or Feeder Permit $ 2.00
$ 40.00
$ 55.00
$ 80.00
see "B" above
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40i
,./ $ 20. ::0
$ 36 ~
C':I"~
C":J t:::II:::r::..
:r> .. DC)
~ "::~
_~_~_~::- I
rr1~. __C)
__ __.,. 3't-.:J g
.. :z t\) r'.:H-L
~~a6~
....0.. ao~