HomeMy WebLinkAboutPermit Electrical 2001-12-17
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The ra~wina project as submitted has the following
225 r It 11-1 STREET , n.d~d s not require specific land use ELEl. JCAL PERMIT APPLICATION
SPRINGFIELD, OREg~Wo~~77 oe
INSPECTION REQUE8-': 72n-37,69 LlDfZ. City .lob Number () I, D6 {cfo -:2.() t
-Zoning ~
OFFICE: 726-3759 lQ.!n!ol . .' '
Date ..' 1>~ COMPLETE FEE SCHEDULE BELOW
1"J.L~SATIQ~20F)2~~~!J6Nure . '... AU N R' ' . I S' I D^/i~...
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Multi-Family per dwelling unit.
/lr-OO Sen'ice Included:
v-r=>1 Items Cost Sum
LEGAL DESCRIPTION
\,.03<20 3L\
JOB DEStRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
'$ 19.00
$ 50.00
2, CONTRACTOR INST ALLA TION ONLY
B. Services or Feeders
Installation, Alterations or
Relocation:
Electrical' contrac" I
Address (/
City PhOI e '\
Supervisor License Num~ J
Expiration Date L--.
Constr con~lmber I
,/
200 amps or less
20] amps to 400 amps
40] amps to 600 amps
60] amps to 1000 amps
Over 1000 amps/volts
Reconnec
. I
~3-/
$ 75,00
$125,00
$163.00
$375,00
$ 50.00
Expiration Date
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
"B" above
Owners Name,Y f\~ .,Me\fV
3 ~ ~~OaJkl~ /
City ~f7j . Phone 747- 55'0.)
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit $43,00
Each Additional Circuit or with Service '.. 'J.cf) '.' j~
or Feeder Permit g; ~O .~
OWNER INSTALLATION
The installation is being made on
property I o\.vn which is not intended
for sale,lease or rent.
OwnC17ignature:. r
~~~
E. Miscellaneous (Sel-vice/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50,00
$50.00
$25.00
$45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
TOTAL
toD . (J)
4.:;;;'>"0
r.ct.D
~(p . OD
4. SUBTOTALOFABOVE
7% State Surcharge
f /f% Administrative Fee