HomeMy WebLinkAboutPermit Electrical 2001-8-1
.
DEVELOPMENT SERVICI!!fl15PA~/II"ot require specific land use 225 FIFTH STREET
approval., 1") I " S
r' VV PRINGFIELD, OR 97477
ZOning (541) 726,3753
, ){ 11/ & I FAX (541) 726,3689
~ ELECTRICAL PERKIT APPLICATION
City Job Number ()f- 0-05~S-- Or
Date
225 FIFTH STREET Authorized Signature
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
L
LOCATION OF INSTALLATION
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JQB DESCRIPTION
l\.9IU ~O..u~"
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2 . CONTRACTOR INSTALLATION ONLY
Electrical Contractor EASTS/{)6 l:LEC.
, Address '~'R)'5 3 goSCA 6-e LANe
City SP<;: (.0 Phone -.2fl- (C; 9 't
... .....-;. -, '.. ,.,;.",...
Supervisor License Number 4 7) 7 5
'Expiration Date JO-O/'O(
Constr Contr. Number ) 17770
Expiration Date }O,O<(-O/
Signature of Supervising Electrician
~~~
Owners Name ~ ~1
Address 32Q 1.11. N,;,..,.....e.-ot)
City~~ Phone '14,-&1-/~<
OlINER INSTALLATION
The installation is being made on
property I own which is ,not intended
for sale, lease or rent.
OvO:~3IHS~J '
:39N~~ers Signature:
O~'8~ $ G:a83~ lW~
'WOG!.(. lnr:-=lIHn
G9G90~-~~------------
DATE:
RECEIPT 11:
RECEIVED BY:
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. f t or port ion
thereof $ 15.00
Each Manuf'd Borne or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 volts
$ 40.00
$ 55,00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit /
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 3(""
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~. -
7% State Surcharge ~.J~
3% Administrative Fee I.~
TOTAL~,~