HomeMy WebLinkAboutPermit Electrical 2001-3-2
,
!
"!:'"
c.
SP&FIELD
Q.C;
3~~-Dj
Authorized Signature t<.
j.
The following project as submihed has the following
zoning, and does not require specific land use
approval.
225 FIFTH STREET ,
SPRINGFIELD, OREGON 97477 Zonlnr
INSPECTION REQUEST: DilI1!€ 1?~':'
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
hfJ~o 'JOtMv S
LEGAL DESc;RIFTION
/ '7 IJ'J.. ::.. 4- '2.. ( f) r? 'L f'r{)
JOB DESCRIPTION
AL~ /"J4,ft.vp;;;y
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 B.
Electrical'~ontracto~/t7~ AJ'rl{~/e~.~
; ,.. .~Address 47JB rF'DX J.f/)llov.J ~ ~
......
,.,' Ci t~~ f'!i:.. Phone_ ~>i?~dll..f 72-
SuperVlsor License Number ';?t:;7 Ei' S
Expiration Date 1,fJ-2/-DI
Constr Contr. Number 939..53
Expiration Date /0 -;l)Z;-O'2-
S~~~Of~p~~trician
~o:ers Name_?7(b;. /JAemt;J/,rT
Address //0'}1J JA-nu(' S 7,
CitY~17 Phone '12-1:.-7oJtJ
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT II:
RECEIVED BY:
"? - 2 -0 I
4,'} )
, 0.A--.
4~
City Job Number IJ ( - {)/J/~ IJ - 0/
(;uIIYLlH~ FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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 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
E,
One Circuit ($ 35.00 ('5
Each Additional
Circuit or with Service
or Feeder Permit JS7 $ 2.00 ~
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
$
$
$
$ 36.00,
:M4-
~ ''.?tr
) 2-:3
/1 C-" 0
-7 -'(
40.00
40.00
20.00
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL