HomeMy WebLinkAboutPermit Electrical 2001-7-26
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225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726.3689
PERMIT APPLICATION
The following projeet as sub~has the follow
zoning, andW \rryqut~ sveCific land use
approval. 0 nL-O
225 FIFTH STREET ZO in t'. 1>T~CAL
SPRINGFIELD, OREGON 974770al.a ~I OJ
INSPECTION REQUEST: 726-J/b':i '1\Pl~ City Job Number (')(-0039'7 -0/
OFFICE: 726-3759 Authorizad Signature I ~'-.
3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION (
'2, &J'i? tlA-t00u RI2tIJ6r=- ~~ A.
LEGAL DESCRIPTION
J7d2... 1900
6J'JOD
JOB DESCRIPTION .
'Tel?'1~ Se~vtt:..e
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 L. f(, fJlO1CtIt1;. etEcr
Address 4fJ-> SHeu./S-r 41
.
Ci ty {,I'Pb
Phone i 4 ') - (:I f'1 (
Supervisor License Number <3 O"Db' So
Expiration Date 10 - {- O(
Constr Contr. Number O'~l<;(-
Expiration Date (" (-01
Signature of Supervising Electrician
~___12" ~ ~
V' r
Owers Name ~\ ~ ?--,
Address~ \3. '-----\.~'" ~~
Ci ty ~ AC.<;::.J'o-...\E'- .' Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------------------------------------~
DATE: Df I ~O( I I r,,t'
RECEIPT 11: h\ \ vI
RECEIVED BY; I\ vr
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit.
Items Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular O'Jelling
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
Sum
$ 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 100Q
D.
Branch Circuits
$ 40.00 40ClJoL
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
CIne Circuit
E'ach Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00:",.
$ 40.0~=;::
$ 20.00;0 ~~
$ 36.0a;J ':..'.~
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