HomeMy WebLinkAboutPermit Electrical 2001-4-4 (2)
b Itled has lhe following
The.tolloWindgd~~~e~~~~:~Ui~ specific land use
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225 FIFTH STREET approval. CY'.... j;:r'1O:r.TIUCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ZOning ;1.:'4- 0 I
INSPECTION REQUEST: .. 726-33il~ . _\ - '-'~ 'y Job Number
OFFICE: 726-3759 . .
. Authorized Signature j.
1, LOCATION OF INSTALLATION
3.2 5 ?1J C< ,')., .s7.
The installation i~G\\(~'irig' made on "E,-' . kistellaneous (Service/feeder.
property I ovn vhic~I('is'\'i1'6t"intended ' .' '.'~. r':Ea'ch installation .
for sale, lease orlj,'en't~;):"lIUI'VUI" ,lIut.all'J":,':'0~puln'p' or irrigation $
J090. '1'.)L, n::" ,.".", "~'. ; h. rsi1fn/Outline Lighting $
Gm:@H~~;l Signature: Cullin, ,I" '..w.'~.. 1 ._j"p'Li.mi ted Energy/Res $
: 39NljH:J llU,IIU", , ". )p',:Li'mi:ted EnergylComm -----L- $
09'6~ $ G:a:J3~ lWlj "
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RECEIPT #:
RECEIVED BY:
LEGAL DESCRIPTION
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JOB DESCRIPTION
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1
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days. .
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor Aor 5<<--:7
Address "'"6',,, ?-n~.-,., s/'.
Ci ty SP9fo
7
Phone ?--:!6. 'f9}-~
Supervisor License Number 'S2(]eSL.L
Expiration Date /~I
Constr Conte Number 2oH5?
Expiration Date
~/......
Signature of Supervising
,;:~ /.c-~' d:
~~~~/~.,.
Electrician
~
Ovners Name SH,Y<; f Y
Address
I-(""...,.J/{'c.....s
, /
Ci ty Phone ::Zu i.. .5'66/
OVNER INSTALLATION
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COMPLETE FEE SCHEDULE BELOV
~~
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
uni t.
Items
Cost
Sum
B,
1000 sq,ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular'Dvelling
Service ot:JF.~~~r .$ 40.00
. ~!:\IC' PF8MIT SHALL EXPIRE IFTHE VVUHI'.
Iservlclels ~,r'!ue(j;\'~'~t;,.s""" "."'t:RTHIS PERMIT IS NO-r
nsta atlon,.,,,~tel'atlons
or ReI oca ti-?,;',,:JiENCED OR IS ABANDONED FOR
200 amps cir"l~~~ DAY PERIOD. S 50.00
201 amps to 400 amps $ 60.00
401 amps to. 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
40,00
40.00
20.00
36.00
~
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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