HomeMy WebLinkAboutPermit Electrical 2001-11-16
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TAowlng prolect as submlMed has the followmg .
225 FIFTH STREET . '~~a~n~ does, n~; rhu~ .~pecllic la.nd use ELE~CAL PERMIT APPLlCA nON
I SPRINGFIELD, OREGUN 974TL, ) W"'" .
'" ~~~~TI~~~~~UES~~tZ26-~6J1I~!91:..- / . Lt~y Jon Number 01-0 IIZb ~O I
, . " " ' 'Auinortzad Slgnat~re 1?\Ul^r \-:O~l F.TF FEE SCHEDULE BELOW
I.LOCATIONOFINSTALLATION',r :,' I. '," : ,,',
41) c::; 0 Pvt..timJldf~ ~vd. f~' '._, - l\. NewRe;identi;,I-Single Or'" '.. " , -'.
Multi-Family per dwelling unit.
1'2>0103/ I ServiccIncluded:
03::>00
LEGAL DESCRIPTION
5'0 free.. ?:. - I (
\
JOB DESCRIPTION
-:k--s<kl( fet&'^ ~ mcl~',Ll ~
ltems Cost
Sum
,
Permits arc non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
.. '
$ ]9.00
. .-v
-.l.- $ 50.00 ~
2. CONTRACTOR INSTALLATION ONLY B.
Electrical ~ontracto~(i~ f ~ &d>tk..
Address 'f;O~2.c. l( "
'...' /' ,:>''."
City lAMl'k/VI/.t ti, Phone J!.jI--f-cf70";
Scnriccs or Feeders
Installation. Alterations or
Relocation:
J"Signaturc of,Supen'ising Electrician
"i ...
.
200 amps or less
20 I amps to 400 amps
401 amps to 600 amps
I .
"601 amps to 1000 amps
Over amps/vol!S
~$63.0~~
--.-i$ 75.00
$125.00
$163.00
,{'-",N..,"
~'Constr
. ~',;,Expiration
"'" ,
.tdf~GfrdJ
,..'.own~..s Name 6ik ~r
. ;Address ..'. i7~--6;' ff-~h,~ :trZ-
'City '.sg".iGcW6hone "1(7 -7b5'(
Over 600 amps or 1000 volts see
!tBB above --. ~';<i. ,
/\
D. Branch Circ~'its
Nc,viAlteration or Extension Per'Panel
. 'I \
l,j" i
One Circuit
.,.. ....L.'...:.:.:.". '......'C.
'OWNER. INSTALLATION
"TheinstaIlati6n is bein)lmade on
property I O\vn which is not intended
. for sale, lease or rent. .
I '/ . ,-
Each Additional Circuit or with Service
or Feeder Permit
$ 3.00
':.
. ,
".
OlHlcrs ~ignature:
E. Miscellaneous (Service/feeder not included)
. '"Each installation ,
'Pump'orirrigatioh ~$50.00
Sign/Outline Lighting . $50.00
Limited Energy/Res $25.00
Liinited Energy/Comm' $45.00
t90:a3IHSt:J:J'
: 39Nt:JH:J
Og'Lg $ G:a:J3~ lWt:J
1002: tr 1:JO:31t:JO
9rtLOOO-tO:#SNt:J~1
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
, .
4. SUBTOTAL OF ABOVE
7% State Surcharge
8 % Administrative Fee'
TOTAL
57S:::-