HomeMy WebLinkAboutPermit Electrical 2001-12-17
.
, "
. .t\ d has the following
. following project as sUb,rnl .epecltlc land use .
iog, and does not reqUl~e
approval.. K-1-
225 FIFTH STREET zOOln9(-( , ELECTRICAL PERMIT APPLICATION
SPRINGFIELD. OREGOl'\al~477 l~ 1'1 1\\ ,. _
I"lSPECTIOi\' REQUEST' ,26-3769 . 1)~ (,it" In" "'lImher f!) 1_<.;"":> _ <5 -C!> /
OFFICE: n6.375~ Authorized SIgnature "
3. COMPLETEFEESCHEDL~EBELOW
P.OI
. .Oct-IS-01 01 :43P
I. LOCATION or INSTALLATlOI'i
17~/ or ')9 Q rr-
LEGAL DESCRIPTION
1l.b3'~'OO ---i9IP_~~o_
A. New RcsJdc"tii.J-Sin~lc nr
Mulli.Famil~' pa dwelling unit.
Sen'kc )nclutlc{1:
Items Cost Sum
JOB DESCRIPTIO:>!
(;.e~ ~,
}(JUO ~q.ft. or less
E<lcll <-lddilional 500
sq. ft or portion
thcrcJr
Ea:ll ~.1<lllllrd Home or
Modulo. Dwellirlg
Service or Feeder
5106,00
Permits ;Ire nO'~-tr,lIIsferable fllld expire
jf work is nol SHrtcd within 18U days
of issuance or if ,,'Ork is suspended f(ll
180 dol'S.
$ 19.00
$ 5iHIU
2, CONl'RAl"TOR [i\'STALLATION ONLY
B. Scrvj(c~ or Feeders
lm;taJlation, Alterations or
Ine, Relocalion' '
ElectricarContmC{(l[ - Alert I:lectric,
Address 1970 N. .28th Street
ci"Springfie1dphone 747-2213'
Superyh;or License Number
243':'5
200 <l fl1pS or less .
2~ I amps to 400 amps
~[) I amps to 6UO amps
60 I :l.lllpS to 1000 amps
O\'e. 1000 omps/voils
RecOtUlectOnly ,
$ 63.00
$ 75.00
$125.00
S163.00
5375,00
$ 50,00
Expiration Diie 10 -1 ,..0 4
Constr Contr. Number 12772
C. ,Temporary Services'or F'eetlen .
. InstaUati~DI Altcrati(l)l or Relocation
.>
, , .
Expirmion [Xm: 5-22';03"
. . - .
, ,
.." ."
, ,
'.. 200 amps or less'
, ,. 201 amps to 400 amps
'. Over 401 to 600 amps
Over 600 nmps or 1000 volts see
"Bl' floove
S50.00
$69.00
'. . 5100,00 '
~: Sign.aturc of SUJlcl"yi.~irJg Electrician
SVtrilJ -
D. Bn.tnch Circuit!!
New Alteration or E?<tension Ptr Pariel
.Address /OO}' M;4t/ll 5,
eil)' :Sf pi) Phone 7l.{1(-372 b
OJ1~. CircUit"
$43.00
Each" Additional Circui lor wlth Service .
or Feeder Pe:mitS3,OO
OWNER INSTALLATION
",. The 'installation is being made on
property I.own.which. is not intended
for s<lle, \c.,se or rent.
. Owncn SiJ.:nature:
E. "'Iisccllllneous. (Scl"\icc/feedcr not inclUded)
.Each installation.
?llnlp or irrigation
SignfO'.ltlinc Lightillg
Li:niteu Ellerg)'/P.es
Limill'.d EnergylComm
$30.00
$~O.OO
S25.00
$45.00
~.linimuII1_EJ~ctdc Permit In~pccrinn Fcc b S4~.OO -+- Sllrchilrgc.~
~
TOTAL
'1S:d'P
"'1./ ~-.
J.,c?
, 5:.1..70
190: i33IHSIJ::1
: 39NtJH:J
SL'1S $ G:GJ3ij lWtJ
100G 61 i10N:31tJO
6LGLOOO-10:#SNtJdl
4. SUBTOTAL OF ABOVE
70/1) St:lh: Surcharge
8("10 Adminbtl"ative F~e
1'1
'17..