HomeMy WebLinkAboutPermit Electrical 2001-2-6
. rOJect as submitt d - .
zonmg, and'does not ra . e has the foilow;
approval qUIre ~pecifjc land use
Zoning I nVC
Date 'Z.-l<>-o/
Authorized S;gnat'ure ~A.)
97477 . -
726-3769
225 FIFTH STRE!,T
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: ,726-3759
1.
"
LOCATION OF I~TALLATION
. 2/20 1\ 'S..t-
. LEGAL DESCRIPTION ,.'
170:53613 .
o ~'"""?&O
. '" '. JOB DESCRIPTION
, "fePlk.e', dt:C- 5C(21/.
,":'.
Permits ~~e ,rion-tran~ferable and expire
if 'work.is not started within 180 days
bf .issuance 6i if work is suspended for
. 180 days. '
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical c~nt~acto[c~sEIt'dYI'G\'11".c.
. Acidres~ P,O:\60i \L\~:2--
Ci t~~i n~iJ?ld Phone ILI.I-7231o '
Supervisor License Nurnber )1o~1 S
\0'.0\'-01
31Ljq
'{l-DI-02-
. Expiration nat~
ConstrContr. Number
Expiration Date
. sttf S7J2~s2:lectrici~n
o/ers Name J--;t 1'4W1. L~^(
A
Address
Z,2.0
5r-
Phone 736 -0'8/ I
City
S+>F~
OVNER INSTALLATION
The installation is being made on'
property I own whi~h is not intended
for sale, lease or rent.
Ovners Signature:
DATE!, ,02060 (
RECEIPT It:
RECEIVED 'BY : r... /f
~138'1'
EhBGTRICAL PERMIT APPLICATION
, , ,
Citi J~b NumberOr-OOIDZ-OL
3.
COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit..
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular. 'Dwelling
Service or Feeder
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
Items Cost
Sum
$ 85.00
$ 15.00
.$40.00
$ 50.00
$ 60.00.
$100.00
$130.00
$300.00
$ 40.00
-..
C.
Temporary Services or Feeders
Installation, Alteration or Relocat~on
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
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
$ 40.00
$ 55.00
$ 80.00
volts see I'B" above
.'
$ 2.00
no t included)
$ 40.00
$ 40.@
$ 20.cIDio~
$ 36.Ql?,~z
. nll1luJ
CJ.. **'
CJ Oil..
d-j ~.~.ms
-.
::;y;'~ ~
?~~~'::"1
I 0 CD .-<:> '-oj
~o 0 a:J
~..O!----l-....o