HomeMy WebLinkAboutPermit Electrical 2000-5-8
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,a..l tlij~ ana does not req . ..5 e 0 owing
alJf.tIQval Ulre specifiC land use
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225 FIFTH STREET "'''''ifIU(fL~U t:>/gnaturL'l
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION P,J::..lljSTALLATJOli..
.33 R?? .$. ~I)a-;I lxi V~
LEGAL DESCRIPTION 9q /V\
I5?O;J,06'~ 0 L.U
'1 JOB DESCRIP:I,;roN /_ w't$ h.ei"
'" t')e<.A>U(ClAl"t~ -~rv...r
,
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if york is suspended for
180 days.
KeJ
AMT'RECD:2 $ 40.70
CHANGE:
CASHIER: 059
ELECTRICAL PERMIT APPLICATION
, . ,
City J~b Number OO~0066.~-01
3. COHPLETE FEE SCHEDULE BELOII
, 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 ~ome, or
Hodular'Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
Items Cos t
Sum
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractort!J.,fJ."> FJ,..,.JOc. J /n,-,
I .
AddressQqf? J3~1 f)Iive... .
Ci ty E<<.LC1fl.n e. Phone /,!? f -I-, (,;2/
Ii
Supervisor License Number :;J. 7/9:5
Expiration Date 10/0//01
Constr Contr. Numbert;?O-/79c...
, AU",;
, Expiration Dat~ h~e%fO
Signature of -su~rvlSi~ Electrician
""~'~ ~.~ .
'c 't-c;3'f '~ .
~ ./ .~
""1).- lu -~ <( . D.
Ovners Name,S".j....ve. A-~~~ ~I'\
Address 3C)gg> :$ '~~;~d I:\r:ill'e...
CitY~(';OO:rip\dl Phone ~~zJ~?
1 U '0'", 'Q
OIINER. INSTALLATION '~1> O'1o,>-:fSIT
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less
201 amps to 400 amps
r.40~ amps to, 600 amps
~~~0~\amps to 1000 amps
0,,'/0 ~0\;:er"1000 amps/volts
v&'o '1'-'$lR'eC'o-nriec t Only
A O...."'t, . J S1<\u,I':> ...'l('l ,
/'. ....~. '0 '-<.~ '0 "',..,',
?6 '9.; C::__1'el)lpo!"afy,Services or Feeders
<9".., 0", II).s't(<;~<la~t:ion, Al tera t ion or Reloca tion
"'. t3-t. 0_, ~'" )"
", ~'" 2Q.9<;anips' 'or less
,CZOi,amps to 400 amps
Over <:401 to 600 amps
Ove'i'.)ioo- amps or 1000 volts
Ovners Signature:
----------------------
DATE:
RECEIPT If:
RECEIVED BY:
'.
Branch' ,Ci rcui ts
$ 40.00
$ 55.00
$ 80.00
see nBn above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Servic~
or Feeder Permit I
/
$ 35.00 35. 00
. "..00
$ 2.00 0(.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. 37.00
SUBTOTAL OF ABOVE
7% State Surcharge ,~
3% Administrative Fee I .::. "/U
TOTAL ltO,'/O