Loading...
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