HomeMy WebLinkAboutPermit Electrical 2001-8-3 (2)
The following project as submitted has the following
ZOning, and does not reqUire specific land use
approval
ZOning
225 FIFTH STREET
SPIUNGFIELD, OREGON~'f"+1I
INSPECTION REQUEST: Auf1ta6t2'~ature
OFFICE: 726-3759
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8/3/01 . ELECTRICAL PElUUT APPLICATION
~CitY Job Number (!) I - 06(g~ -0)
3. COMPLETE FEE SCHEDULE BELOV
1.
LOCATION~OF INSTALLATION
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to. .
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J.&GAL DESCRIPTION
~ - 103 d- 3 3L). 0 -;)&/00
i L J013 pESCRIPTIOlh
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Permits are non-transferable and expire
if york is not started ~ithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor/C5 J;/r-c/flc
Address (7 (j b cJ>C L Y'~3 3
Ci ty EI;1 t/ A.~..P Phone (;'1:';; 6L J b
j
Superv'ic;or License Number J V9 J.J
Expiration Date / tJ II /0 /
I (
Constr Conn. Numper 7 L).r r7
Expiration Date/:2-;/3 % y
s~ure of ~erViSing Electrician
· X~ ,,,,,!'cf~
O:ne_"s Name I~U ~(aJN
Address 4'33 e4",- 1'f24V~
1 .
C1tySf?,eh'7.~ .PhonP. '7'{1-7'10]
OVNER INSTALLATION
'-'
The installation is belng made on
property I own VhlCh is not intended
for sale, lease or lent.
Owners Signature:
"'---
DATE;--------23-2?lS-?-C)-~---I--~-I~--
RECEIPT t: ) I l/""
RECEIVED BY: (f \( (' U '
y
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeder~
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. Tempora~y 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 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D. Branch Circuits
New, Alteration or Extension Per Panel
~
$ 35.00 3)
~u
E.
One Circuit
Each Addltional
Circult 01 vith Servlce
or Feeder Permlt Y
.I
Miscellaneous (Service/feeder
-Each lnstallation
Pump or lrrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not lncludeo)
$ 2.00
z.
s.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
S 20.00
$ 36.00
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