HomeMy WebLinkAboutPermit Electrical 2000-11-28
DEVELOPMENT SERVICES DEPARTMENT \1 5 tne tollOwing
'ect as submittedec~iC land use
iM to\lOW~~g l~~~ not require sp
20n\ng, a .fL
approval,
225 FIFTH STREET Zoning 1,&' c1J2
SPRINGFIELD, OREGON 97477 /
INSPECTION REQUEST: 76~~ ~ity Job Number 00 ~
OFFICE: 726-3759zeo Signature
AUthOr! 3. COMPLETE FEE SCHEDULE BELOV
1.
LOCATION OF INSTAI.,LA.TTHION
b3/3 A-s~
LEGAL DESCRIPTION
( 70"2_ 5,c-/3. L(
JOB DESCRIPTION
SF(L
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
Electrical ContractorK\)us: 1\ Kr D~.
~ h 1I~ l.A
Phone ,<O-Z7l4
Supervisor License Number Lllz..\ c:s
ID -6\-0\
ZD -4 Lll Q."
\0 -0\ -6\
Address LlO's4
City ~~\d
Expiration Date
Constr Contra Number
Expiration Date
Slgn., atu~.e of Supervising Electf)cian
r C[)VJJJ J 3 \.~.)
~ers Name ~ t<"') -P4e '~vt ~ r I 's h
Address 0:0, h d.,c 22. 20 (
Ci ty t=:'L-l&eN'CT Phone 5Cf3 - 5]~ 3
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent:
Owners Signature:
DATE: J I 2 goD
RECEIPT #: % tf77'
RECEIVED BY: ~nC
~ ----'
225 F/FTH STREET
SPR/NGF/ELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
LECTRICAL PERMIT APPLICATION
006Z7-0/
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less z.. $ 85.00 /70
Each additional 500
sq. ft or portion Z-. 30
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00 '
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One 'Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
$ 2.00
Miscellaneous (Service/feede~ not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40. Q2, !
$ 40.QHi
$ 20.09, b ;;;j
__ DD
$ 36. qJj rrl C~0
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