HomeMy WebLinkAboutPermit Electrical 2001-1-11
225 FIFTH STREET
i;PRINGFlcLD, on 97477
. , 'as submitted has the following (541) 726,3753
The follow,n9 project t require speci!ic land use FAX (541) 726'3689
ZZ5 FlFTII STREET zoning, and does no , BLEl.'"l'RICAL FERMIT APPLICATION
SPRINGFIELD, OREGON 9'111tV'1val., C)L-
INSPEc:rION REQUEST I 726-37a.9mng 0 I Ci!y Job Number <9/-0002 Z - O{
OFFICE: 726-3759 ' - {I -
Date cr<L.A.h-.
1. LOCATIQlI OF -INST"~1ii Signalur.
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I
LEGAL DBSCRIPTION
1703.'2-'2..2.0
,
DEVELOPMENTScR~CESDEPARTMENT
00'70'-{
JOB DBSCRIPTION
(!ldl',trS ;:nc. <iL~SfL<I~ ~ f)/{f'&Kf;€
tr .1..oor.aro ,
Permits are non-transferable and expire
if work is not started \(Ithin 180 days
of issuance or if \(ork is suspended for
180 days.
Z. CONTRAc:rOR INSTALLATION ONLY
Electrical Contractor :J.f. f Et..8,TZ'C--
Address Po &.. ,q,3
Ci ty II L8A tJ Y / Ot. 9l1J1 Phone SI//-4.1Ir- 7f. 95
Supervisor License Number .3.2S:J..S
'. ,. ".J . _ _ ..~
"EKpix:atio,n Da,t,e /17- 01" I'll
Constr Contr. Number 21-'1('
Expiration Date
IO-Of-'",
, Si~ture o~ Sup'7)"ising Electrician
, R A~ U~~_J;>
owners"Name SrU-l ,l::;AKA(/IICHI
Address....-Za..7o OL Ym,dlc' S'r Su/ri JII
Ci ty S'~~.PIJ'L41X... Phone 1,2(,- q 8(.(,
O\INER INSTALLATION
Th~ installatIon Is baing made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIYr .11:
RECEivED BY:
61110 (
---;--vr:
l..-(t:-Z- '7
COMPLR~R FEE SCHEUULB DnLOY
Ne\( Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each l1anuf'd Home or
Modular Dwelling
Service Or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation.
SUIII
200 amps or less
ZOl amps to 400 amps
401 amps to 600 amps -----
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only:
$ 50.00
$ 60,00 .
$100.00
$130.00
$300.00
S AO.OO
C.
Temporary Services or Feeders
Inst]lllation, Alteration or Relocation
D.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100U
Branch Circuits
$ 1,0,00
$ 55,00
'$ 80.00
volts see "D" a~
New, AlteratIon or Extension Per Panel
One Circuit I
Each Addi tiollal
Circuit or with Service
or Feeder Permit I
E.
S 35.00 ~
S 2.00 ..1.00
l1iscellaneous (Service/feeder
-Eech installation
Pump or irrigation
Sign/Outline LightIng
Limited Energy/Res
Limited Energy/Conlm
5.
SUBTOtAL OF ABOVE
7%. State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 1,0.00
$ 40.00
S 20.00
$ 36.00
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