HomeMy WebLinkAboutPermit Electrical 2001-5-21
The following project 8S submitted hf!~ thE' ~t""~'''''''. ';~
zurllng ana a?e~ not ItI"i1.l1re Sf,lbCltlC lana u;)b .
approval. '
Zoning LM /
974h~~ :i -;)./- 0'\
726-J70':I
.G.JI(tUnZea Signature _c:r<u
3.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LQCATIo,N/,tK-,-ALLATIOlf--.. I
"c; ;) X 0 kI-' J '" k- "" \':'00..01
, '
LEGAL DES PTION
,t7DZzgoO C)OCfO'
JOB DES~PTION I
ll~('.L{; -\ w( J,LA.st col ~r~
Permits are non-transferable and e;(pire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
ELECTRICAL PERMIT APPLICATION
;;,;,.ty Job Number
COMPLETE FEE SCHEDULE BELOY
Of - 00S-/7 -Of
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Electrical Contractor Philins Electric
Address l?qA ~~th~l nrivo
City~~nF>
Phone(S41) fiRfHil?l
Supervisor License Number ?71q~
Expira tion Da te 10f01/01
Items Cos t
Sum
1000 sq.f~. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf',d Home. or
Modular 'Dwelling'
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
,$ 40.00
$ 50.00'
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
26-34C
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
10-01-01
Sign,ature of Supervising Electrician
~ ~','
m ) Natnan PnJ..ll.pS D.
Owners Naf:Je OYVl (' r, (' G> n (' J...
Address g 13-:10 :rholu_~0 { L. k
City C(')hl.lr~PhOne 98'f?-30)OO
OYNER INSTAL~TION
The installation, is being made on
property I own which is not,intended
for sale, lease or rent.
owners Signature:
---------------------------------------
DATE:
RECEIPT II:
RECEIVED BY:
D"Z(Or
-sl.t i/=
ErA
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see. nB" above
.'
L
New, Alteration or Extension Per Panel
$35.00 3500
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
Sign/Outline Lighting-
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
'or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge "'--
3% Administrative Fee)
TOTAL
$ 2.00
no t included)
$ 40.00
.s 40. 00
$ 20. 00x>
$ 36.0tEi,....,::;:J
L:o
35 00 R';i'Tit.5
',O~. '**
:;~u'::::':;=:;..
-"- b~ 1",,)-<:13
-r-;' I
3X .~i9....!'-1g
;:::O:J:>C,...J 10
. .. :Z:COI"..)U1
QG)- O~
o--.mU1Oc..n
,...........01-'0-..