HomeMy WebLinkAboutPermit Electrical 2001-8-24
The fellowing project as submitted has the following
lonl". does nol require specific land use
appro \ .
l!enln\ L-M
225 F1FTII STREET ,;,_____~~l~'{l 01 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREG<ffl' > i 4 II . 1\11 IIMu.....
INSPECTIONREQUESll~tr,2l\Zgq@gnal\Jre '.-0. - ::;J It.:. :T..m.ber fll- n6 ~Cj ,. 0 I
OFFICE: 726-3759 I
3. COMPLETE FEE SCHEDULE BELOW
1. LOCATION OF INSTALLATION
lqlq Laura Strppr
LEGAL DESCRIPTION
J! 03 :1..7 f 0 032uzJ
JOB DESCRlP:rION
Increase Existinq service & ~eeder
Penriits 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 ONI. Y
Olsson Industrial
Electrical Contractor Electric, Inc.
Address 1919 Laura Street
City. Sorinafie1d Phone (541) 747-8460
SupeIVisor License Number 3334-5
Expiration Date 10-1 ~1
Constr Contr. Number
63473
Expiration Date 1-2~1
Signature of Supervising Electrician
~ A-- ?~
OmiersName Ol-';.s"-...,, 'J.\A..uJu-pJ
Address t::=i I Cj J,.,,/J..,LUuL ~
City ~ Phone
OWNEMNSTALLATION
The installation is being made on
P,u>''''] I own which is nciUntended
for sale, lease or rent.
Owners Signature:
ZrG:iJ3IHS\78
: 39N\7H8
g6'L9Z $ Z:083iJ lW\7
100Z 91 9n\7:31\70
gg99000-10:#SN\7iJl
.
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 Mariuf'd Home or
Modular Dwelling
Service or Feeder
$106.00
$ 19.00
$ 50.00
B. Services or Feeders
Installation, Alterations or.
Relocation:
200 amps or less
201 amps to 400 amps
40 I amps .to 600 amps
60 I amps to 1000 amps
Over 1000 ampslvolts
Reconnect Only,
1 $ 63.00 63.00
$ 75.00
1 $125.00 125.00
$163.00
$375.00
$ 50.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
20 I amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts See
liB II above
$50.00
$69.00
$100.00
D. Blanch Circuits
New, Alteration or Extension Per Panel
One Circuit
$43.00
Each Additional Circuit or with Service
or Feeder Pennit ~ $ 3.0045.00 .
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lightinl!
Limited Energy/Res
Limited Energy/Comrn
$50.00
$50.00
$25.00
~ $45.00
5.. SUBTOTAL OF ABOVE
7% State Surcharge
8% Admlnistrative Fee
233.00
16.31
18.64
TOTAL
267.95