HomeMy WebLinkAboutPermit Electrical 2000-9-18
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SP,tlFIELD
The following project 8S SUb.mittede~~~ t~:n~I~~~ing
zoning, and does not reqUIre sp
approval. " . LD (L-
Zoning
225 FIFTH STREET q - r'iC - l[D
SPRINGFIELD, OREGON <fJJ!4'f7 ~
INSPECTION REQUEST: J7~<69ignature
OFFICE: 726-3759 .
1.
LOCATION OF INSTALLATION
1~1J Old O.Y(lJ1IIyri L Ill'll
LEGAL DESCRIPTION
/70 3, 2. ~ L-/ 3
c> Zlc2-.
JOB DESCRIPTION
.~f'//rth{ ~ylJ7/1J- !:'fJ.ihd ft1I/3-tt
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
>.LECTRICAL PERMIT APPLICA~~I. ~ '. .
~ity Job Number no -~ -o~'
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
(\ . I Installation, Alterations
E1ec trieal Con trae tor't-hl/e,-sibl' A. 'fJ{(I'./-rn!Ud-, /n.e.-r: Relocation:
Address (J (), /6Vx. t/lyjJ'f( . 200 amps or less
r 201 amps to 400 amps
City Y,l1qPt1I. Phone f)J-//-.../gl/-tft}:1-({ 401 amps to. 600 amps
601 amps to 1000 amps
Supervisor License Number3~:J;/ ..JLE Over 1000 amps/volts
Reconnect Only
Expiration Date
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Constr Contr. Number
Signa tnJ}:11 ' q; si
Owners ~ame~1 0.)-/ 0111.1%
Addre~s {J. !J. !bOy- 1- '-I '25
Ci ty f P1I if f IV Phone 5<1/- '7 If"; - 2b&O
OWER INSTALLATION
The installation is being made on
property I own whiCh is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 09f \reO
RECEIPT II: 3.283
RECEIVED BY: .....,-7
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res --1--
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$ 40.0~~
$ 40.00-< ~.....
$ 20.0~~U
$ ~,;. om .. *"
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