HomeMy WebLinkAboutPermit Electrical 2001-8-24
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The fOla p,ojectas submlUed ha~ the following .-
225 FIFTH STREET zoning, and doas not raquire specIfic land use ELEcrmr. PERMIT APPLICATION
SPRINGFIELD, OREGEIllI'9'Wn L,...D!(" G; _ Ui:AN"#: 01-0006491
INSPECTION REQUEST: 726~cm99 -~\~ 01 Llty JooNumber ~/ - tJV Soh -01rM: AUG 21 2001
OFFICE: 726-3759 Date * . ,,' AMT RECD: 2 $ 52.90
'ea.SjgJlature ~ 3. COMPLITEl'EESCHEDULEBELOW CHANGE:
1. LOCATIONOFINS~~TlON . -" , , CASHIER: 003
::In'14 L(")(Yl D nO 07'1'1') A New Residential-Single or
~, Multi-Family per dwelling unit
LEGAL DESCRIPTION Service Included:
/70 -'3 2.5/2. 01'71)1)
~-,
HOB )ESCRlPTION
P '(-ra2::. \:t, ~
;:J. Px-o ,N'-"C \ (,
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
"Items Cost Sum ~
_$106,00 _ ~
.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspeuded for
180 days.
$ 19,00
$ 50.00
2, CONTRACTOR INSTALLATION ONLY
B. Services or Feeders
Installation, Alterations or
Relocation:
Electrical Contractorp 8.Lo <:( f R L-tt [L
Address \ ~ '\4f\d!" tf':f)i\ Lr:\r\i..
City-S9t4 J') Phone~ <7-(' LlJoI
Supervisor License Number ~ b
Expiration Date
/n-oJ
200 amps orless
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Ouly ,
$ 63,00
$ 75,00
$125,00
$163.00
$375.00
$ 50,00
Constr Contr. Number do - L/ C; If C-
C. T ...,,,..<Jy Services or Feeders
Installation, Alteration or Relocation
Expiration Date
lo~o d
$50.00
$69.00
$100,00
200 amps or less
20 I amps to 400 amps
Over 40 I to 600 amps
Over 600 amps or 1000 volts see
\ I ,-<:} - - ,"B" above .
-Jl\ ~A,_
~-rJ I fi 'D. Branch Circuits
Owners Name \ '\ ';-r IV\.I1r-O ~ (yp oj t.,.,~CL New Alteration or Extension Per Panel
( , I n .C()
Address2f)IJLl (~~m()y\~ One Circuit ~ $43.00~
CitL~OVl J') Phone 1L/h-~::/)/ I
OWNER INSTALLATION
Signature of Supervising Electrician
Each Additional Circuit or with Service '0' '0
or Feeder Permit , -\.- $ 3 .00 ~
The installation is being made on
property I own which is not intended
for sale, lease or rent
Owners Signature:
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited EnergylRes
Limited Energy/Comm
$50,00
$50,00
$25,00
$45,00
mO:i:l3IHS~:J
: 39N~H:J
06"Gg $ G:O:J3i:1 1W~
100G 1G 9n~: 31 ~a
16v9000-10:#SN~i:l1
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
L/r. .DO
'-1!1 :'f\
~
QJto
5, SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
TOTAL