HomeMy WebLinkAboutPermit Electrical 2001-12-17
225 FIFfH STREET
SPRINGFIELD, OREGON 97ming
INSPECTION REQlJB8lft 71Ci 1""~
OFFICE: 726-3759 Authorized Signalure
The ;clI.A.rOjeCI as submitted has ihe following
zoning, ~es not require specific land use
approvel.
LAUt2.--
I~ .11.01
DICtLtt.v
3. l:UlW'LJ:>1~ FEE SCHEDULE BELOW
.
ELECTRICAL PERMIT APPLICATION
CittLob Number Of - 0 0 9 Z 7 -0 \
LEGAL DESCRIPTION
no'3. Zsc:n::>
A New ll..,,;n<>nli.l-Single or
MnIti-Family per dwelling unit.
Servil:e Tnc1mlf'1l;
1t
1. LOCATION OF INSTALLATION /)
. 2.'253 W/)Q.,A- L-,-
ocz.ol{
Items Cost Sum
JOB DESCRIPTION
JIIIl J-I. '9trfL.l/ I C ~ -f-
/'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Suvire or Feeder
$106.00
f......:;., are non-transferable and expire
if werle is not started within 180 days
of issoam:c or if worlt is suspended for
180 days.
2. CONTRACTORINSTALLATIONONLY
Electrical Contractorffio'1 Uf'J-f. L
Address \~) 'Q.n~ (fWI L/l.
City~R .n Phone llri-(rG'7o (
SupervisoI License Number ~ "\S.
ExpiIation Date I e/ (j I
I
Constr Contr. Number ;;{) L(.(() 1. L
r.....;.~on Date J ()/ f).2
i
Si......_~ of:::........ ,:sing Electrician
$ 19.00
Z- $ 50.00 jCJ'O
B. :l_,:"""orFeeders
W<:I.U:mon, Al!eIations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps .
Over 1000 amps/volIs
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. T .......~-J Services or Feeders
T'1....U:mnn. AlIerntian or Relocation
Address ZZS3
~7
.--v.', . h
Owners Name ~J,..., cL- /JI/ Hr//l.1",
IlUthk LiJ
Citv 5f?m Phone '{t)---S7c;7
OWNER INSTALLATION
200 amps or less
201 amps to 400 amps
0vIir 401 to 600 amps
Over 600 amps or 1000 volts see
"B" above
'_ $50.00 _
$69.00
SIOO.OO
~
D. . Branch Ciicuits
New AlIerntian or E.~.,;nn Per Panel.
One Circ:uit
$43.00
Each .t\nmlinn.l Circ:uit or with Service
or Feeder Permit ----1- $ 3.00 . ~
The ;n"", n:mnn is being made on
r'-"~'J 1 own which is not int<>ndf'1l
for sale, Jease or rent.
Owners Signature:
E. Mj""",Uh" _ (Service/feeder not included)
-Each in..c::t~nmon
Pump or irrigation
SignIOotIine T.;gJtti'1g
Limi11:d EnergyIRcs
T ;mm..n E........,:Comm
S50.00
$50.00
$25.00
$45.00
M:..:.,...... Electric Permit Inspection Fee is $45..00 + Snn:harges
S. SUBTOTAL OF ABOVE
7% State Surcharge
SOlo Admini,~~T'" Fee
/03-
7....'
Ije.'f
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