HomeMy WebLinkAboutPermit Electrical 2001-5-7
.It.NGFIELD
The following project as submitted nas the toHoVJi'lf..
zoning, and does not require specific land use- ~
approval.
Zoning
225 FIFTH STREET
SPRINGFIELD, OREGdR't"),',:,:,
INSPECTION REQUES'JA;,tho7,~~r\iJlure
OFFICE: 726-3759
, I.c..b. II?
&) --"7 - G.,(
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1. LOCATION OF INSTAIN\TIgli"
Z/b{ Dl4"'k~UL~
LEGAL DESCRIPTION
1 70'3 Zh{ /
015"00
....
JOjl DESCRIPTION
tfz.JT TlA 6 c, (2.<...'^- ,.-r-
Fermi ts are, non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor t('roDd"(1 f-Iec;t;
Address RO,(JOY 10&7
CityspP"/d/lJr Phone 7:J.IP-I/303
Supervisnr License Number (}.(p 7/ 3
/olo//cJ/
Constr Contr. Number :;;6-/7:1. ~
/D/OI/Or/J
Expiration Date
Expiration Date
SignatuJ;1';?f~erVising Electrician
~ -"~
/Ilf .--.........
Ovne;~ Name' I") i-6lZ-,~
Address Z/h/ 'Oc, 10(,4 I\'~ ~
Ci ty sf' ,-CLl Phone 717 - 0 c;/5 (
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: /") -::;-0 70/
RECEtPT II: L,' J g-r
RECEIVED BY: "0-.rf'
ELECTRICAL PERMIT APPLICATION
City Job Number CJ/-aOlfAlj.o/
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling uni t,
Service Included:
Items Cost Sum
1000 sq,ft. or less $ 85,00
Each additional 500
sq, ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dvelling .'
Service or Feeder .$ 40,00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50,00
$ 60,00
$100.00
$130.00
$300.00
$ 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
$ 40.00
$ 55.00
$ 80.00
volts see nB"
above
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Addit ional
Circuit or vith Service
or Feeder Permit
$ 35,00 :3 ("
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40:r90
$ 403;lQ,,;ri
$ 20::6l~ ~
$ 36:;glCJ:1 ~
("") t:::l:z ..
~ roo DC)
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HO@C)O
l"'!l"""" _."'\'-"
;;QDGJ 0
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2S ~ ~~~
........... c::;tt--'--.:]
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL