HomeMy WebLinkAboutPermit Electrical 2001-10-25
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, ,. - !~~ ~.g projact as subminad has the following
zoni dOaa not require specific land USa
225 FIFrn STREET ilPPfBvsL
SPRINGFIElD OREGON 97iPPlng L-D R
INSPECTION REQUI!fm ..7'6..1769 to - 25 . 0 ( City J~ 1 ;.....;._ (j ( - 0 1/ 4 ::) - 0 I
OFFICE: 726-3759 ~Ui~ 61@l\Qhl~ J2./I....eJ1J.1 _. ~
, J. cor.____FEESCHEDULEBffi.OW
1. LOCATION OF INSTALLATION
'...:J A I LJ. \"=Q:.. ViLL)
LEGAL DESCRIPTION
~ )70327Lf l
01 'l01
ELECl'R.ICAL PERMIT APPUCATION
A New Residential-5ingle or
Multi-Family per dweIIiDg unit.
Service Included:
1000 sq.ft. or less
Each additional SOO
sq. ft or portion
thereof
Each Manut'd Home or
Modular Dwd1ing
Service or Feeder
B. ServiofF~
(E1nstalIation, A1temi.ons or
Electrical c.._....~.9.\\ V' _ cp ( 4(1, Ii r 'Rdocation: _
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Address~ f,:l,.,{\Ar If?:s()(", \.A:\1t.t.. . 200 amps ~ less
[ 201 amps to 400 amps
City~l,::( "'_phOne l)dCo-(OIJO 401amjlsto600amps
...... "/ 601 amps to 1000 amps .
Supervisor License L_.l_ "30rl-.:> <) Over 1000 ampsIvoIts
Reconnect Only .
JOB DESCRIPTION } J,
~1C1"^'0 c,orv,'7,A ::)eYml r./rUll+-s.
{ .
Permits are non-transferable and expire
ifWOIk is not started within 180 days
of i......n~ or if WOIk is sn.", _J.~ for
180 days.
2. CONTRACfORINSTALLATIONONLY
Expiration Date
Constr Contr. 1 L":'_ ";U) l/G "7.C
E....:.o..:on Date I () / n:::::::>
,
Signatme of S...._.:.;....g Electrician
?A~ --:
OwnersName .:;\..pVO QlV(J{'l
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Address 70 f +-1J.1f'VI&W
~
City 5"?"::() Phone
OWNER-INSTALLATION
The msr..l1minn is being made on
....u,-.J I own which is not :"""':..J
for sa1e, 1ease or rent.
Owners Signature:
100:;>j3IHS~::;
: 39NljH:J
S~'6L $ 6:a:J3~ lWlj
1006 Ll 180:31ljQ
~OOLOOO-I0:#SNlj~1
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C. T .........-~J Services or Feeders
Inst.n.rion, AIterntion or Rdocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
-e" 'above
Items Cost Smn
_$106.00 _
$ 19.00
$ SO.OO
-L$6~3-
$ 75.00
$125.00
_$163.00 _
$375,00
$ 50.00
._ $50.00 _
$69.00
$100.00
D. ,Branch CiICuits
New AIterntion or ErlP.nann P~I .'
, ' . 1')....--
One Circuit r 1).00-' . <0/
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Each AddiJ.ionalC' 'or.~ . 11' -'
or Feeder Permit -~ $ 3.00 0
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E. Mis<-n..."'llUS (ServiceIf=1er not included)
..Each jns:hlUmnn
Pump or iTrigJ'rinn
SignIOuiline T .ighting
Limited EnergyIRes
T imnerl Energy/Comm
$50.00
_$50.00_
$25.00
$45.00
1\ :"":..,,, w Electric Permit L~. _ __",un Fee is $45.00 + Snn:harges
~6Jr
~rl.{R~
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5. SUDIVIALOFABOVE
7% State Surcharge
8% Admini.._"':._ Fee .--
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