HomeMy WebLinkAboutPermit Electrical 2001-3-5
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ELECTRICAL PERMIT APPLICATION
DEVELOPMENT SERVIC~~l?&fo~/Jl~o/1fbftrt as submitted has the following
. zoning, and does not require specific land use
approval,
Zoning
225 FIFTH STREET n
SPRINGFIELD, OREGON -.J'}';.",
INSPECTION REQUEST: AuJrUiZ€Wf;9nalure
OFFICE: 726-3759
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B -0-0 r
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'City Job Number /J/--/JO/)t? -01
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION .
L/ g 3 (ArS t.4l--oG
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
A.
LEGAL DESCRIPTION
/ 702- ~ ~ 3? O.lb5"/51J
Items Cost
Sum
JOB DESCRIPTION
;..n;::'kr PI/)f--1 P 01 ~c:-v;.,
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
Permits 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 INSTALLATION ONLY B.
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
Electrical Contractor L-; -re ~~rJ?-I.c:.,
\.i}Address r.(), 60,><- (/1 3CJ
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
Phone btk - fCjq t:,
Supervisor License Number ~ C; S '3 5
{O /1 /UIJ/
. (
Constr Contr. Number C;?r::;..ljX--
Expiration Date' Z; / ( !VOv
/
Signature of Supervising Electrician
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Owners Name h ~ W / VZ-rt-I-
Ci ty r::3L/b./~
Expiration Date
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
D.
New, Alteration or Extension Per Panel
$ 35. 00 ''PS c!>C/
One Circui t .?
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
Address if tf '3
Ci ty ~ y::-,t? ,
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Phone 1 1.& .~Ll L&5
OlmER INSTALLATION
The installation is being made on
property lawn which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
Owners Signature:
..- (/0
1':> ,~
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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. RECEIPT #: /1 "'frstJ S-
RECEIVED BY: ~~
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