HomeMy WebLinkAboutPermit Electrical 2001-12-17
The l.ng proiect as submitted has the following
. .d d s not require specific land use
225 FIFTH STREET ZOning. an oe
SPRINGFIELD, OREGffi&'~7~7L. \.,(f\'l
INSPECTION REQUEST: 726-j'fg~ ~ . \ '1 . 0 I
OFFICE: 726-3759 Dale - O~
Authorized Signalure ~ CQHPbETE FEE SCHEDULE BELOW
\. LOCATION..oF INSTALLATION. .tI
CiS] ( 17,4", lC.{;~ 15(.d. ID3
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
I . -I I. Installation, Alterations or
Electrical Contractor I ,;) 5 [/(('ffi(' /1 '"h-c. . Relocation:
Address P () 60;'( ) Y f)
City yr i:)iv kL Phone 7 Lj J.- --:;r;J3(:,
Supervisor dense Number 1 /7'6 J 5
)0-01-01
.-.
LEGAL DESCRIPTION
170 )'3'fL(t(
0030r
JO~;f~~'no~oo J.k,p SL--€-VI<-C
,
Penn its are non-transferable and expire
if work is not started within 180 days
ofissuance or if work is suspended for
180 days.
Expiration Date
Constr Contr, Number dO - / lj C
Expiration Date
la-OJ - ()/
ature of Supervising Electrician
2vJ
;j wnersName .c;h/JVVl roc.l lfdu.;r-r
Address '-IF!>I rr/J.~ ILl,:" [Ski
City e-f..,Lr; b'Vl':"" Phone / 2b- 330Z
OWNER 1NST ALLA TION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
6m:~mHS~::J
: 39N\JH::J
g~'6L $ 6:a::J3~ lW~
lOOZ 6l d3S:31~a
O~L9000-l0:#SN~~1
ELECWAL PERMIT APPLlCA nON
City Job Number 0101018 - 0 (
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 Manufd Home or
Modular Dwelling
Service or Feeder
$106.00 .
$ 19.00
$ 50.00
200 amps or less
201 amps to 400 amps
40 I amps to 600 amps
60 I amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
.--l$63.00 63
$ 75.00
$125.00
$163.00
$375.00
$ 50,00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 40 I to 600 amps
Over 600 amps or 1000 volts see
"B" above
$50.00
$69,00
$100.00
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
$43.00
Each Additional Circuit or with Service
or Feeder Permit
$ 3.00
E. Miscellaneous (Servicelfeeder not included)
-Eaeh installation
Pump or irrigation
Sign/Outline Lightinll
Limited Energy/Res
Limited Energy/Comm
5, SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
$50.00
$50.00
$25.00
$45.00
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TOTAL