HomeMy WebLinkAboutPermit Electrical 2001-10-1
.
DEvaOPMENTSERWCESDE~RTMENT
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
1702..31 Z-I o1.o-oe
JOB DE~CRIPTION / . .
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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
Electrical Contractor 't)"tttlf ~lP~
Address
LlO '54
sr~ ld,
'SOD......, ~tl-4iJ--"
Phone '7tl1-l77.tt,
LIlliS
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City
Supervisor License Number
~,.
Expiration Date
ConstrContr. Number
Expiration Date
I 0 ~t'}l -0 I '
. . Si~~ture of Supe~ing Ele rician
,( [) VJJl..J \ => \
- -
ers 'Name k-t /~ C-Ie-t; L
Address J 7 SS-l> }-/,"'//5 Cret:f ~.
Ci ty spr';71 '~tJ Phone 7l1b' S~ZO
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OWER INSTALLATION
D.
The installation is being made on,
pioperty I own which is pot intended
for sale, lease or rent;
E.
Owners Signature:
---------------------------------------
5~
DATE: '
RECEIPT #:
RECEIVED BY:
.
SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
ELECTRICAL PERKIT APPLICATION,
Ci ty Job Number 01-:00373.- 0 (
3. COMPLETE FEE SCHEDULE BELOV
A.
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
t
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less , ,:, 2.-
201 amps to 400 amps .;
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00 ICSO
$ 60.00 '
$100.00
$130.00
$300.00,
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 ,amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000,
$ 40.00
$ 55.00
'$ 80.00
volts see"B"
above
Branch Circuits
New, Alteration or Extension Per Panel'
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit 2-0 $ 2.00 L/D
,"
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
'7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
/'10,
~5'1~
40 . 00 '
40.00
20.00
36.00