HomeMy WebLinkAboutPermit Electrical 2000-2-29
The following project as submitted has the following
zoning, and does not require specific land use
approval, c..-
Zoning - ~
225 FIFTH STREET Date' 2.... 2."1 - 0()
SPRINGFIELD, OREGON 97477" . /. , )
INSPECTION REQUEST: 7~~~~8g;,gnature KVV
OFFICE: 726-3759
ELECTRICAL PERHITAPPLICATION
City Job Number
3. COMPLETE FEE SCHEDULE BELOY
77 ~ Il/Fb~' -CJ /
,
1. LO~ATION OF INSTALLATION
BUD ~(j'UNe-:fLo.~fau.\(..HaI).OQ...,Q.l~1t A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL-PESCRIPTIO~ \~~~\~. ~;\ervice Included:
Oe.~~ -Lt"H\~':l.I/\l(,"" ~f~ 'lU- )l[)1:'AlLJ . Items Cost Sum
JgB DESCRIPTION ' LJ, 1000sq.ft. or less $ 85.00
~w '(6L'Tv\~€" -:I~^L\4-TI0tJ(Dl\("fC6r1H0tJ'dl;f/~\f5) Each addi tional 500
-, , sq. ft or portion
Permits are non-transferable and expire thereof $ 15.00
if work is not started ~ithin 180 days Each Manuf'd Home, or
'of issuance or if ~ork is suspended for HodularD~elling
180 days. Service or Feeder ,$ 40.00
2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders
, ,\ ~\ /. Installation, Alterations
Electrical ContractorNj\il~l\L \~~~1~50r Relocation:
Address N 6l-\E1L~~ ~ .4t(p 200 amps or less
201 amps to 400 amps
Ci ty$?V~(--AE:.U) Phone -=t20.Q209 401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only .
Supervisor License Number,"@1 e.t.- \
Expiration Date l~D(;l2cx)O
,
Cons t r Con.tr. Number PiY56/..../
Expiration Date --::r /23h \
. I ,
Signature of Supervising Electrician
~n ~t ~ (Y \~ ~(\J) (L
\
Owners Name ~~~ Jj1?/kf,UlZ f-.i'XJ?8t'
Address
City Phone 0~7-71.Jc/
,
OVNER INSTALLATION
The installation is being made on
property I ~~n which is not intended
for sale, lease or rent.
~00:~3~rs Signature:
:39Nl:JH8
09. 6e' ~ - - .""'IT' ., '
- ~_~~a-~~---------~------------------
0006 6loAlad: 31tlO
v9LOOO~tBm~i~
RECEIVED BY:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
D.
Branch Circuits
above
,.
Ne~, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
~
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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