HomeMy WebLinkAboutPermit Electrical 2001-3-6
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225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX(541) 726-3689
ELECTRICAL PERMIT APPLICATION
The following prOlec. a~ ~U~~\::!Pr: has th" following
zonlflg. and does not require specific land use
approval.
225 FIFTH STREET Zoning l-v'Z-
SPRINGFIELD, OREGON 97477 ?> -Ie - 0 I
INSPECTION REQUEST: 726'.!~TlI~ , \
OFFICE: 726-3759 Autnonzea Signature (Jl'#J
3.
1.
LOCATIO~ jJf IN~TALLATION
20 l?llt~ /-1.4 i2. @O(LplL
LEGAL DESCRIFTION
f't"06 1/7/
JOB DESCRIPTION
'S. F,'<.
Ii) "3(00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name ?A- -1- {;(: ,"t hI c.. p
HP2.'wuA.:... '0-fL
Phone 72 b -3tY7
Address
;:::=%6
c:;. f F' ()
City
OlINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent;
11r~\J\ro .
_Uj,~____c._., ____________~_
L~ -01;- 0/
4-/',.,/7.
'f.~x-'''=,
DATE:
RECEIPI I:
RECEIVED BY:
". ty Job Number I'.J() - I) / ~2 ~ -If /
COIlPLETE FEE SCHEDULE BELOV
New Residential-Single ~
Multi-Family ~~~.dwelling~t.
Service Inclu~o
___- Items Cost
Sum
~(
Jriio
1000 sq.ft. or less t./ $ 85.00
Each additional 500
sq. ft or portion -k..
thereof $ 15.00
Each, Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less. $'
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
.
,$ 50.00
$ 60.00'
$100.00
$130.00
$300.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
. ,.
, ,
New, Alteration or Extension Per' Panel'
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
,-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3%,Administrative Fee
TOTAL
$
$
$
$
/ '7'i IN?
. '/2,2.$
C;,J-r'
, '1 :'&"2-
7ft;...
40.00
40.00
20.00
36.00