HomeMy WebLinkAboutPermit Electrical 2001-9-24
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, the tOllowl'K?jact as submitted has the following .r J
... zoning, an.9 not require specific land use (
approval. I nit/ ~.
225 FlFI'H STREET Zoning l..A-/,\ ELECl'RICAL PERMIT APPUCATION
SPRlNGFlELD,OREGON974n qIJc.f(Q( . .
INSPECITON REQ~ i:J.b-j IbY . DR.' I?I. J- City Job Nmnber ~ /- 00 93>'7 - 0
OFFICE: 726-3759 Authorized Signatura ~ JU-
3. COMPLETE FEE SCHEDULE BELOW
1. LOCATION OF INSTAlLATION /
. 726'1 (:;(ck=rt... !.>EtZoL,.. St.
LEGAL DESCRIPTION
ircOZ 02Z-\
00'-(00
JOB D~CRIPTION 1-
I C-, ~""I
Pemrits are non-trnnsferable and expire
if werle is not started within 180 days
of issuant:e or if wmk is suspended for
180 days.
2. CONTRAcroR INSTAlLATION ONLY
Electrical CoIllIaCtDr A~ fJ t1oltfc:.-
AddIess \'3cm ~Y'\~1~ 1.../).
City$H _0 PhOne rJd-Cn -(/JO/
Supervisor License Number ~~~
ExpirationDate !.ffrg( .
Constr Contr. N~ do Lifo r; L-
~;'''';'anDate {~~
Si......._v of Supervising Electrician
r
~~~.
Owners Name TA-c...lc: v .;L:,s c='
Address '7 2&-/ f:;/~h'rf24.., S i-
f
City Sf;::: :.;::. Phone
OWNER INSTAlLATION
The ;n!""nllfinn is being made on
,t'.u.'l"';"uJ I own which is not :...u.........:....d
for sale, lease or rent.
Owners !;;6"~""~'
190:~3IHSH1
:38N~H:J
~L'l~ $ ~:O:J3~ 1W~
lODe:: ~l d38: 31 ~O
8L99000-l0:#SN~~1
A New Il..,;rlP.nri.l-sing1e or
Molti-Family per dweDing unit.
Service Tndnd..!'
fiems Cost Sum
1000 sq.ft. or less $106.00
Each additional 500
sq. ft or portion
thereof $ 19.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 50.00
B. Services or Feeders
Inst.nllfitm, A1lE:ratians or
Relocation:
200 amps or less
201 amps to 400 amps
40 1 amps to 600 amps
601 amps to 1000 amps .
Over 1000 ampsIvolts
R......_.....;. Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. T........~~J Services or Feeders
Tn,,",nllfi"ll, AItcmtion or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 wlts see
-an above
'_ $50.00 _
$69.00
$100.00
D. . Branch Ciicui.ts
New AItcmtion or HrlP.no:inu. Per Panel
One Circuit
($43.00 '-t .3
Each j\itmri"",,1 Cirarlt or with Service
or Feeder Permit $ 3.00
E. MiE,.,-n,mP<lUS (Servicelfeeder not inclndcd)
-Each indAUmon
Pump or mig;rtinn $50.00
SignIOutIine T ~gJmng $50.00
Limited EnergyIRcs $25.00
T ;nritM r:....~6J.rComm $45.00
~.'...':....,. E1edric Permit Jnspedi.on Fee is ~~ Surcharges
5. SUDlulAL OF ABOVE
7% State 3........:h~61i.
SO,", ""mini ~.....~..... Fee
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