HomeMy WebLinkAboutPermit Electrical 2001-6-26
Date
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~~~7~zed Signature
726-3769
.1.
LOCATION OF.INSTALLATION
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LEGAL DESCRIPTION
I 70 "::) 2-L{ 0-0 0 0 10 ( .
JOBDESCRIPTtO~, . r : II
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Permits ~renon-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.
Elec trical Con trac torUl)Jj) \Jdlle.Lj r;;!eL.
Address /! la!) ()CP()JI1 s'f: :
Ci ty kU9 jP n pO Phone -.10 g 3 -g3l:~
Supervisor License Number ~/J~Jr
Expiration Date //)-07
Constr Contr. Number ~~tf/()
Expiration Date I{)-{)/
. .
Sign.atu..reJP~ Supervising Electrician
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Owners Name T~c( ~oe~
Address z~bo
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,
City
~p~
Phone
OVNER INSTALLATION
The. installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
. ~A~~~-------C;~~~7-------~=:-------
RECEIPT #: ~b I
RECEIVED BY: . ~ (J ?
V
ELECTRICAL PERHITAPPLICATION
City J~b Number O( -oObJ3 ~O\
3. COMPLETE FEE SCHEDULE. BELOY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
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
$ 15.00
.$ 40.00
Services or Feeders.
Installation, Alterations
'or Relocation:
200 amps or less I $ 50.00 50
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00 .
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $.40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
. $ 80.00
volts see "B" above
D. . Branch Circuits
,.
New, Alteration or Extension Per Panel
. One Circuit $ 35.00
Each Addi tional:
Gircuit or with Service
or Feeder-Permit 1 $ 2.00 7
E.Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00.
$ 36.0~ -'
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