HomeMy WebLinkAboutPermit Electrical 2001-8-9
Th;&,wing project 8S submitted has the following
'-zo..nd does not require specific land use ...,. _'_'_.
225 FIFrH S1REET ---ap, u)l2. ELEC~PERMIT APPLICATION
SPRINGFIELD OREGON 97477 Zoning ~
INSPECTION REQUEST:oili!P,nn"O '/01 6:'J Ul:..mber 6 (-00 X os- Z -0 I
OFFICE, 726-3759 Authorizad Signature
3, COMPLETE FEE SCHEDULE BELOW
1. LOCATION OF IN,$TALLATIOl'l
II.-fl.{ 5<:' It- """ -r A, New Residential-Single or
Multi-Family per dwelling unit.
SelVice Included:
LEGAL DESCRIPTION
170~3.h3,7
00 900
JOB DESCRIPTION
r-;..-~
Perntits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
2, CONTRACTOR INST ALLATION ONLY
Electrical Contractor
Address
\
Supervisor License Nu
Cit'!
Expiration Date
Constr Contr. umber \
Expiratio Date
re of Supervising Electrician
ownersNam~Aa-Y2...~ ( h s "'-
frs-1-
Address
/,-<q ~
City <; p ~ .D Phone
OWNER INSTALLATION
The installation is being made on
,,,up_a! I own which is not intended
for sale, lease or rent.
Owners Signature: I
r;) ,~~~~AA
l:90:t13IHS~
: 39N\JH:J
9~'99 $ G:Q:J3t1 lW\J
l:OOG 60 9n\J:31\JQ
Y6~9000-l:0:#SN\)~1
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
SelVice or Feeder
B, SelVices or Feeders
Installation, Alterations or
Relocation:
200 amps or less
20 I amps to 400 amps
40 I amps to 600 amps
60 I amps to 1000 amps
Over 1000 ampslvolts
Reconnect Ouly
C, Temporary SelVices or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
liB" above
D, Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Items Cost
Sum
$106,00
$ 19.00
$ 50,00
$ 63,00
$ 75,00
$125,00
$163,00
$375,00
$ 50,00
$50,00
$69,00
$100,00
$43,00
Each Additional Circuit or with SelVice
or Feeder Perntit ~$3,OO_
E, Miscellaneous (SelVice/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
5, SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
LfrJ;
TOTAL
II
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