HomeMy WebLinkAboutPermit Electrical 2001-8-24
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rtielollePrO!ect es submitted has thelollowlng. '
225 FIFfH STREET zoning, oes not require specific land use ELEC~ PERMIT APPLICATION
SPRINGFIELD, ORE~O~~!77 (g 0 . ' , _
INSPECTION REQUEST: 72~~~\\'9 ~(2~(O' \..lLjjObNumber O(~60 '(0'.;) -61
OFFICE: 726.3759 Date_
Authorized Signeture ~1M-3, COMPLETE FEE SCHEDULE BELOW
I. LOCATION OF INSTALLATION
'/t"l<('<., I-'tAeLOV--::> i::.t:>o A. New Residential.Singleor
Multi.Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
1703> '2... 722 002.C;0 Items Cost Sum
JOB DESCRIPTION
.3 c.in..<..~,k
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106,00
Pennits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
$ 19,00'
$ 50,00
2, CONTRACTOR INSTALLATION ONLY
B. Services or Feeders
Installation, Alterations or
Relocation:
Electrical Contractor 0 L'-' /--.0 ~'1....
Address \
Citv Phone
Supervisor License 'Number:/'
~\
Expiration Date L (~
Constr Contr, Nmrtber \
E~Date .
Signature of Supervising Electrician
./
/
200 amps or less
201 amps to 400 amps
40 I amps to 600 amps
60 I amps to 1000 amps
Over 1000 ampslvolts
Reconnect Only
$ 63,00
$ 75,00
$125,00
$163,00
$375,00
$ 50,00
C, Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
20 I amps to 400 amps
Over 40 I to 600 amps
Over 600 amps or 1000 volts see
liB" above
$50,00
$69,00
$100,00
Owners Name !'vI lCw\-\::.l P. E J P<N S
Address (all H1~lO~ \'2:.(:::,.
City-SPP./~(:leLo' Phone_7Zb-85'2. '3
OWNER INSTALLATION
D, Branch Circuits
New Alteration or Extension Per Panel
One Circuit
$43.00
Lf)
Each Additional Circuit or with Service
or Feeder Pennit .-L $ 3,00 b
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E, Miscellaneous (Service/feeder not included)
.Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50,00
$50,00
$25,00
$45,00
~~~n ~ r~
t90:~3IHS\:!J
: 39N\:!HJ
g~'9g $ Z:GJ3~ lW\:!
tOO<3 t<3 9n\:!:31\:!G
98v9000-tO:#SN\:!~1
Minimum Electric Permit Inspection Fee is $45,00 + Surcharges
5, SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
IfCf
TOTAL
5b~