HomeMy WebLinkAboutPermit Electrical 2001-12-31
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SPRINGFIELD
5
VA l:;:V t.: 1 t:UU1
. AMT RECD:2 $ 143.75
The tOllowing project as Submi CHAN~E:
zoning, and does not requ Ned has the fallowing . . CASHIER' 011
approval Ire specifiC land Use . J.
225 FIITH STREET . Zonin L"b(t. ELECTRICAL PERMIT APPLICATION
SPRINGFIEJ.D, OREGON glA77 ,g 1.,. . ~,
INSPECTION REQUEST: ,16="!i63 I "'',11-<>1- City Job Number () 1- o'J 0 15-0 \ '
OFFICE: 726-3759 Authonz&d Slgnatur. {t.0
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l.J.EGAL DESCRIPTION
. I.OJ:,. 3'-1:."2-3
OU?9]
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_ ~OB DES,(:RIPT;rON .
--1Jl.fd.1I.1 c.ot2.~t(uc.+ LQV\
Permi.ts are non-transfer.able and expire
if work is not started within 180 days.
of issuance or if work is suspen~ed for.
180 days.
2. CONTRACTOR INSTALLATION ONLY .D.
ElEta!OT~a:X;ontr~~ t~~~- ;lMd(lJ~ Bedtle..
Add1~lSlE~~~,~~OR~ .
Ci t~~~~~~~~~~~~lJ- ()D~
Sup~Wi~~'il?~s!QQ;umber I'lJtftS
Exph-ation Date Ib'ol -03
Cons t r. Con t r. Numbec' /3;Jbgr)
Expiration Date 2..- J/- {yl
~fd~l~an
Owners Name ~.l.EdYI'(,J.,
Address \S~&-~O ~
Ci ty~ Y'\~'b.e.LP\ . ~hone 7L{(.:;.-1/?-,}-i .
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
S9KP-LETE FEE SCHEDULE BELOV
. A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
'.~s
I
Cost ',' Sum
(Olp ,ij)
$ 85.00
IO/.Oll'
$ 15.00
Items
1000 sq. ft. or less,._
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular.Dwelling
Service or Feeder
'.
,$ 40.00
S. . t.;';;1...,..~tT.F:"'\...I~..{"\,.o~on la'.^J fpq1J!r'"'<" you to
erVlces ,Ot" eeuers . . ,- U \"'1
I t II' 't'.., -- Alt~h''t1'' ,h,) ",:bgOn 'II'.
nSRa'l''':lt,oi,n,~ ,~,:.rfh(;~~~ul('D &\e o0i :J"h
or e oca 'on :J..... .\. .. . ~, .
. ,',' -'9':-- 'O'..'()'OlhrouohOAr.a52-0n1.
:~',- l....rl ..'''''....... I o.J , ~ " b
zOO amps. or.ulesso\.;t.1i" Dcp:es l.l's,tscHoo" Y
201 am~~il~& 14'o,Q;@mps(NOle: me $<loo\:l09~
401 ail!P'fill~~' .~q0,1.!lI!!P~2c)n um:ty $100COo;;n
601 amps to r3.-P.9.P, i'1",P.~~; ._X,2.2~-$,J!~0. 00
Over 1000 a~ps/volts $300,00
ReconneCt Only .___ $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201. amps to. 400 .amps
Over 401 to 600.amps
Over 600 amps or 1000~s
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
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New, Alteration or Extension Per Panel
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Miscellaneous (Service/feeder not..included)
~Each installation .,
Pump or irrigation $ 40.00
Sfgn/Outline Lighting $ 40.00
Limi t'ed Energy/Res $ 20.00
Limi tel:! Energy /Comm $ 36.00
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~r v.$~(,..,~ 00
SUBTOTAL"OF ABOVE - fJi:;:/O -. o"""-J
7% State Surcharge q.~
3% Administrative Fee )0. '
T01'AL 1,4'''.71,
One Circuit
Each. Additional
Circuit .or with Service
or~ Feeder Permi t . ,
E.
5.
$ 35.00
I
$ 2.00
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