HomeMy WebLinkAboutPermit Electrical 2001-7-6
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225 FrITH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 _ ,_ ~ . _:_--&'.~ ,- -~-,.,=r -;:=OID."~""'"''
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INSPECTION REQ1lE? .!Ji,. ;i(iJ...~t3:.?~91if,:;~1~1;'!\C.?;r-~~. ~~if:~WlvtY:f:{?,~~.um~!".r~ "'~ft.lf-)9.,:'25;lt~~l.~~t~k..''''f.':'~l
OFFICE: 726-3~~.~{l)!~,~~~. ~re~~~z,;.i~~~~tib\'&91~\~~~.~\~'il"'l'~WJ\?r.i~~i!:i.'l3l};:;;-,ll.~.~t'~~~~'\l~
l~L.."_,..7!1,'''_::''-''"~',"",,,,~,,,,-,,,,'-';:;,--37''''''COKPI;ETE :;FEE~.SCHEDlIDE4iBEllOil' ", ---."..=2.._ ~_. ."
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1. LOCATION OF' INSTALLATION
~~.." l/St I
Elec.trical Contracto~e~" r.-;-~\'.... ~Ql
Address PorA"y~..~~
City(:::;"-4~': C61 Phone ~4-2 ~I
;upe'~\'isJr'r;icen~te.N~'~b'er j:a 9~..,"'i
. . . - ,.c , ...
Expira,:ion Date /10~O( -'Of
Cons tr Con tL.. Number ~ R OlD I
Expira:ion Date G- (c.j -Ocf
LEGAL DESCRIPTION
JOB DESCRIPTION .. n n )..I,f:)
ek-~~_.-rAH ~-
Permits re 'n~~-tran~ferable' a;d expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
S~~~;;v';;~Electrician
O\Jners Nam~r-. bl!!..l"t>,. l:--l.t1AL.~l.L-l\...; D.
Address
Ci ty
Phone~l-~"11
OVNER INSTALLATION
The installation is being made on
property I ovn vhi~h is not intended
for sal'e; leas'e or' ren t~.-'
Gl.:6iilil~SlSJgna ture: :.' . ,
:39N~H8 - ...'u._ -- --,"--.. --- .-,----
Ol:Qt,> u $ G: 083il lW~
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RECEIPT #:
RECEIVED BY:
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
uni t.
Items Cost
1000 sq,ft. or less
Each additional 500/
sq. tt pr_portion
thereof
Each Hanuf'd Home, or
Hodu1ar 'Dvelling
'Service or Feeder
$ 85.00
S 15,00
$ 40.00
.E.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less ' ,,_.
20~, ~!lmps' to :40'0: amps .~
'401 amps' to' 600~amps__
6'01' amps"to 1'000' amps m
Over lOOO-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' '0, less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
S 40,00
$ 55.00
$ 80.00
volts ,see "B" above
Branch Circuits
Ne\J, Alteration or Extension Per Panel
One Circuit { $ 35,00 s3&-8V
Each Addi tional
Circuit or vith Service N-M.:>
or Feeder Permit -L S 2.00
E, Hiscellaneous (Service/feeder not included)
-Each installation
Pump or 'irrigation' , $ 40...00
Sign/Outline Lighting $ 40.00
Limi ted 'Energy'IRes' . $ 20.00
Limi ted Ene.rg-yjC!,mm $ 36.:00
5. SUBTOTAL OF ABOVE _~"'900
7% State Surcharge ~'5q
3% Administrative Fee 1. II
TOTAL \.j.()~