HomeMy WebLinkAboutPermit Electrical 2001-7-16
. f~818l1BWjfig praJGe! .s submitted has the following
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225 FIFTH STREET Date - -l'...j /alA j... r;LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97 4 A6\hciil~ %i\lM\\ltl! U ~
INSPECTION REQUEST: 726-3769 City Job Number 01-00 70'1 -0/.
OFPICE: 726-3759
1.
LOCATION OF INSTALLATION
(04/0 ~")
LEGAL DESCRIPTION
I7D32-72.....(
07u~.
JOB DESCRIPTION
L..0..n ~ o_ll- ~,. - (
Permi ts ar€ non-t-ran$ferOlbl~'.and. expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
3. COMPLETE FEE SCHEDULE BELOll
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
. thereof. ".. .
Each Manuf'd Home. or
Modular .Dvelling
.Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
Electrical Contractor~ Fgo~~.~. ,,"f._.,: LC>'
Address PO~~.~").
Ci tyG~ q"'l'-lO\ Phonej..iL~ 'l~~i -...
l_uperv\sor: Licen'se Number ~qd..'\
Expiration Date..3b-oL::.O/
Cons tr Con tr. Number '?'~oo r
Expiration Date q - (If - oc.l
Si7~ ;~:=C5ltctrician
O'..ners Name ~L.:.v Ioos:<:
Address
-'""- - ~.
City
Phone _")1$.1- -l.~...:\.q
OYNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or ren l .
O~"Tleis .Sig'nat"u'n;: ~
DATE: 07/20/
RECEIPT #:
RECEIVED BY: 1\ t?
.--
loll. I
200 amps or less
201 amps to 400. amps
401 amps to 600 amps
60L amps ..to:.lOOO"amps
.Over 1000 amps/volts
Reconnect Only
S 85.00
S 15.00
$ 40.00
S 50.00
S 60.00
SlOO.OO
'$ 130 ..00
~S300.00
S 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
D. Branch Circuits
S 40.00
S 55.00
S 80.00
.see liB"
above
Nev, Alteration or Extension Per Panel
--L
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited EnergyiComm
5.
SUBTOTAL OF ABOVE ...
7% State Surcharge
3% Administrative Fee
TOTAL
S 35.00 ~
S 2.00
not included)
S 40...00
S 40.00
S.:20.0Q
S36. 00
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