HomeMy WebLinkAboutPermit Electrical 2000-5-11
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. ubmitled has the following
The following project as Suire specific land use
zoning, and does not req
approval.. L-l'fl--
ZOning
225 FIFTH STREET ~":II -tf'D -'\
911le - V-'
SPRINGFIELD, OREGON 974 I . S' lure ~
INSPECfION REQUEST: 726'.lI!l'111~d Igna
OFFICE: 726-3759
9
DATE:MAY 11 2000
,
AMT RECD:2 $ 22,00
CHANGE:
CASHIER: 059
F:;:;ECTRICAL PERMIT APPLICATION
City J~b Number 00- 00> :S:5$-C> {
1.
LOCAT/lN OF ~STALLATION
'j{ Ii.! ),,111 pi LOtll>
I
LEGAL DES~~Iqtf
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JOB DESCRI710N
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
1BO days.
3. COMPLETE FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dwelling
Service or Feeder
2. CONTRACfOR INSTALLATION ONLY .B. Services or Feeders
n . I, _ Installation, Alterations
Elec trical Contrac to4.-Jivl r><i /),rt r'L U}:~/lnt.l!J)n.ror Reloca t ion:
Address P.!J. 0OY.. t./ 051-/ i . ,,::J ~;; ';;':1,.': 200 amps or less
to' 0.:: . ~. ,l' 201 amps to 400 amps
City '( (11q uLl/ Phone SI-IJ},{J''lt.//-Cf,01c'/l 401 amI's to. 600 amps
. a: {' ,..::.. .':.,' 601 amps to 1000 amps
Supervi.$or License Number .J.g~t;j k.E ,;; Over 1000 amps/volts
.' is {c i[f..if' Reconnec t Only
:i Z?,-C' -r :~ f ::.
~ f 01-
~-- ...",'~ C
'; F .. ..... ... ..... a .
Constr Contr. Number q <K ,.,-0 ~ ~~, (f: .
'V Q ,....,..... ,...
I . ".. '-~ .: ,.f:: ....)
EXPiratlt'o~n Date W O~!~:.? It. .,,:-
Sign(] 0 Sup ViSing-Ji$~l~!Ci~::';(-
P~~~-::::3
- CO) I\.,I E:
'"' () ....
r
Owners Name j u.l-uIL g. I-J. oYh..-RJ15
Expiration Date
Address
v
P.O. Box. 142..5
City
~ ul Q f'Ju.,..,
"
Phone 6L/1-1t-/tf'1t.rf<.O
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
tu."..J.i'f II'
RECEIVED BY:
$ 85.00
$ 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' 'or less ,..I-
201 amps to 400 amps .~' k.
Over 401 to 600 amps(;-o.~ _~...;
Over 600 amps or 10a0 N6i~s
. ~'~' <P'
Branch Circui tsr:l.~ q,qJ' .$7
<fJ p (.')0
New, Alteration~r ~ension
~~v Q0 ~
One Cj.<i{,CuJ::f'3 .:# i::'0 Q'
Eac~~a~ti:@akl ~O
Cj(D::uli.'1ii ~oIw!tth~<Service
of'-~d(l1 ~~t~4: $
~ ~~r;:,<:;j
Miscel~a~~uS8(service/feeder
-Each ins~tlation
Pump or irrigation $
Sign/Outline Lighting $
Limited Energy/Res --L-- $
Limited Energy/Comm $
E.
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
see liB"
above
"
Per Panel
$ 35.00
2.00
not included)
40.00
40.00
20.00
36.00
'U'.o~
"L/).OO
i. 4.,0
, 61 0
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