HomeMy WebLinkAboutPermit Electrical 2001-7-5
zoning and does not reqUire specIfic land use
approval I .n t:J
Zonlng~
Date -;-/[;"/ fl r
225 FIFTH STREET Authorized Signature "b"tJ,J-
spRINGFIELD, OREGON 97477 ~U'-
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. L9,CATION OF INSTALLA'};ION
;jS-~S CUAdo 0
JOB DE$CRIPTION / /J 1000 sq ft. or less
~A ~ f-u AA'Y'f~/ /~ /L C~f:fI'<<'~Ch add1 tional 500
I sq ft or port1on
Permits are non_transferable and exp1re thereof
1f work 1S not started w,th,n 180 days Each Manuf'd Home or
of issuance o~ if work 1S suspended for Modular Dwelling
180 days SerVice or FeedeL
\.
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LEGAL DESCRIPTION
/~O 2 Or;., 2-1
F152-tJo.
2. CONTRACTOR INSTALLATION ONLY
Electncal Contractor k:s {.:J~C~1t 1(~f
Address r1 ,0 6 CAt 2 (/;3 J .,
- City &., J~ Phone l~f6" 2J,{,
SuperVl~n1 L1cense NumbeL 31./CJ7S
Expnatlon Date--Ll1.lit~tCJ'
Constr ContL. Numpe~ 706"'8"r
Exp1ratlOn Date /;;J../I.Jr( /)t/
Signature of Supervlsing Electrician
.' -:&j~ v j)"A'/ .....
I v
01<lne s Name 061'\ : ( d1P, f. (/, f'<Jhf'A
Address 3~.f5" d.i'n~~
Ci ty ~/) Phone 7 <..(c.(-()I ;2.. ,)
OVNER INSTALLATION
The 1nstallat1on 1S belng made on
prope~ty I own VhlCh 1S not 1ntended
for sale, lease or rent
Owners Signature:
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'\!H:1
Uu JY $-~~~JJd-rHB-----------------------------
WOG 81~~~1~l . .
6YSgOOORE'CEfwfiy: .
3.
. ELECTRICAL PERMIT APPLICATION
Clty Job Number O/-/Jf7')-5'F-~(
COMPLETE FEE SCHEDULE BELOY
A
New Res1dentlal-Slngle or
Mult1-Family per dwell1ng unIt.
SeLv1ce Included:
Sum
Items
Cost
$ 85.00
S 15.00
$ 40.00
B.
SerV1ces or Feeders
Installation, Alterations
or Reloca {Lon:
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
S 60.00
$100.00
$130.00
$300.00
S 40.00
C.
TemporalY Services or Feeders
Installat1on, Alterat10n o~ Relocat1on
200 amps 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps o~ 100v volts
$ 40.00
$ 55 00
$ BO.OO -
see "B" aoove
D.
Blanch Circuits
New, Alteration or Extension Per Panel
I
;, 35.00
One GHCU1 t
Each Addi tlonal
Circuit or w1th SerV1ce
or Fpeder PermIt
$ 2.00
-+-
E.
M1scellaneous (Service/feeder
-Each lnstallatlon
Pump or Irr1gation
Slgn/Outllne L1ghtlng
Limited Energy/Res
Limited Energy/Comm
, -
not included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Adminlstratlve Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5 7,':9-1)
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