HomeMy WebLinkAboutPermit Electrical 2000-8-22
L. 2
DATE:AUG 22 2000
AMT RECD:2 $ 45.10
CHANGE:
CASHIER: 059
~CAL PERMIT APPLICATION
The tollowing project as submitted has the folloll'
zoning, and does not require specific land ust-
approval. ., ~~
Zonrng
Date y ~ ~?-.-o-O
9~i~~3~~o'rized Signature ~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
City Job Number
(Jo-o/~3~. rJj
3. COMPLETE FEE SCHEDULE BELO~
1. ~OCAT~~N OF INSTALLATION n
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~ DESCRIPTION
I '
,('Li(i'bYY\
. - ~ JOB DESCRIPTION
tIi4,rsj L\ .6V{lQ('J") ti r~ 11i" +-s,
Permits ~re non-transferable and expire
if work ,is not started within 180 days
of issuan~e or if ~ork is suspended for
180 days. ' \ ~ \ '7
2. CONTRACTOR INSTALLATION ONLYB.
Electrical Contractor:JP-, FJfCT{?JC1Tm.
Address;)Dh5 oj. / ;Cf1 .-dIP ,
. -'
Ci ty .FU(jJElJ) E Phone &cg1-51-7-()
Supervisor License Number ,S ~ -*;{ ~
Expiration Date 1011/01 . '
Constr Contr. Numbe1r .~~,~'X1-('.
Expiration Date J()jlj()/)
~ " (I
Si/I~~ of Supervising Electrician
ow~rs ~a~""J..af~ ~~
Address :l6{) &h~ Rd-
City 7//1/1
./ v
Phone
OVNER INSTALLATION
The installation is being made on
property I own whi~h ,is not intended
for sale, lease or rent.
. O'offiers 'Signa ture:
---------------------------------------
DATE: [}J;;.~.JGO
RECEIPT i: '::2q.?~
RECEIVED BY: WS
A.
New 'R'esidential-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 Home or
Modular Dwelling
Service or Feeder
Services or Feede~
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items Cost
Sum
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services oi-Feeders
Installation, Alteration or Relocation
200 amps' 'or less . $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circui t ' $ 35.00 ?fS.(j)
Each Additional
Circuit or with Service
or Feeder Permit :~ $ 2.00 10.0D
Miscellarieous (Service/feeder
-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
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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