HomeMy WebLinkAboutPermit Electrical 2001-1-4
The following project as submitted has the following
zoning, and does not require specific land use
approval. ~
Zoning .....V
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Aillli6Fii1lil6:llgnature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION of INSTALLATION
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LEGAL DESCRIPTION
/70s Z'51 7 c!J::,~O'O
JOB DES~PTION
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Permits are non-transferahle and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor J~i>'\) t ~ f~L-ec:t
AddressfO \ t3 0 X J D (P 7
City~.fjJtfJ Y Phone 7;). (; -C{ 3 () j
Supervi.sor License Number J (P 71 -3'
Expiration Date 10/0 110 I
Constr Contr. Numher::J.o - r7a C-
Expiration Date 10 10 J 101
Signatu~~~, up < vi~Electrician
#~ A.//: /
(/ ;' . L- - ~ IJ
O~ners Na D-Al ~e ~ e.
Address 2/5"6 h ('-+~ 4,;r
City s::?f"b Phone 7<(( ~ 06)0
OVNER INSTALLATION
The installation is being made on
property I o~n which is not intended
for sale, lease or rent.
Owners Signature:
DATE: O/o<.{or
RECEIPT I:
RECEIVED BY:l\~
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ELECTRICAL PERMIT APPLICATION
City Job Numher.o:::> -0/47)-o(
3. COMPLETE FEE SCHEDULE BELOY
A. Ne~ Residential-Single or
Multi-Family per d~elling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof S 15.00
Each Manuf'd Home. or
Modular 'D~e11ing
Service or Feeder S 40.00
B.
Services or Feeders
Installation, Alterations
or RE'location:
-
200 amps or less ./
201 amps to 400 amp~
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
ilsO
S 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
S 80.00
volts see "B" above
D.
Branch Circuits
"
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
$ 35.00
S 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40 ~O
S 40~\b ~
$ 20~e:; ~
$ 36~lJ.' 52
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t--IC"'J 00
1'T1$+-f-"-~
::u ""' 0
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SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL