HomeMy WebLinkAboutPermit Electrical 2001-3-12
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225 FIFTH STREET !?-I u-
SPRINGFIELD, OREGON 9Mi1i-
INSPECTION REQUEST: 72~-,;rMi9 SignalUre
OFFICE: 726-3759 I'U"
3. COMPLETE FEE SCHEDULE BELOV
1.
LOCATION 01 INSTALL4rION
14/3 1Ct-I/i{J /UiI<..--
LEGAL DESCRIPTION
170? ?<f?-"J- O? W1J
JOB DESCRIPTION
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 Contractor ~~)(CD^)
Address 337~b W. 0114-12.,/1\(
Ci ty Ceesu (,-,--{ I Phone "6 <t S - 2Lf'f 0
Supervisor License Number ~J-c;
Expiration Date 100 101
Constr Contr. Number bb'b 7'1
Expiration Date
070101
~ign~f S~ng Electrician
Owners ~ \.J\:LtL_~.~
Address l'k5 ~tUf2l
Ci t~~ Phone f-l. ~ 7.fZ. (,
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
c::m:1J3IHS\!:J
:39N~ers Signature:
Og'8~ $ C:::O:J31J lW\!
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RECEIPT II:
RECEIVED BY:
225 FIFTH STREET
SPRINGFIELD. OR 97477
(541) 726-3753
FAX (541) 726.3689
~CTRICAL PERMIT APPLICATION
City Job Number 01- O{)I;).f,-O/
Items
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Bome 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
$ 40.00
$ 55.00
'$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
I $ 35.00 ~~ ...-
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
7t State Surcharge
3% Administrative Fee
. TOTAL
$
$
$
$
~. ---
~..f$
I. oS'
.">'l. Sc.i
40.00
40.00
20.00
36.00