HomeMy WebLinkAboutPermit Electrical 2001-8-3
The following project as submitted has the following
zoning, and does not require sp~cific land use
approval,
Zoning
225 FIFTS STREET
SPiINGFIELD, OREGOND~~qll
INSPECTION REQUEST: Aui]ll""'~ature
OFFICE: 726-3759
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g (3/ D 1 . ELECTRICAL PERMIT APPLICATION
~l L-;--Ci ty Job Number 0 /- 0678' ':1-0)
3. COMPLETE FEE SCREDtTLE BELOY
1.
LOCATION/?~ F, INSTALLATION
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,J.&GAL DESCRIPTION
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/1 JO,B 'pESCRIPTIOlh . I'
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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.
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2. CONTRACTOR INSTALLATION ONLY
Electrical contractor/L:5 r;~c/fIC
Address (7. 6. b cJX L V>=,? 3
Ci ty. E/ f1 '1<1,::...0 Phone ,(;,;:-6
- )
supervisor License Number
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b.iJt
J V97S
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Constr Conn. Num,ber 7 () r r7
Expiration Date' / .J;/3 % y
SilnJ,ture of s~erViSing Electrician
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Owne.'s Name ~ fA ~-faJ.ftnj
. I v
Address '4/33 _ e14M-lv-uOyL-
C1 ty $A?i?tV74,,~ Phone '']l( I - 7'(0)
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OWNER INSTALLATION
Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease or ~ent.
Owners Signature:
lo.-'
-,-------- --- ------------- --- -------::::=j--
DATE: 0 ;YD (0 ( ;' ~ /
RECEIPT t: ,_) t./'"
UCElVEP BY: (,\fit' t/
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,A. Ney Resident ial-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf/d Home or
Modular 'Owelling
Service or Feeder ,$ 40.00
,B. Services or Feeders
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c. Temporary Services or Feeders
Installation, Alteration or Relocation
ZOO amps' 'lOT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see tlB" above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
,..-
$ 35.00 3)
",'0
One Circuit
Each Additional'
Circuit or vith Service
or Feeder Permit
$ 2.00
Z-
4
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Ene~gy/COmm
not includeo)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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