HomeMy WebLinkAboutPermit Electrical 2001-8-24
J;:;'~16-01 Ol:46P
.
.
P.02
BPRINQFIIlLD
zoning, and does no reqUl
approval. C V
Zoning ~ \'JA I a '
225' FIFTH STREET ~:::O:~d Signature ~
SPRINGFIELD, OREGON 97477
INSPBCTION REQUEST, 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATI.ON
-:l,?",.. ""0..\,,, ~-< St,-\u..t',Ii>~ ,\,...",\ ' A.
LEGAL DESCRIPTION
17 0 -:>, ?,t:; 3 I \ d.. ~(l()
JOB DESCRIPTION
-s:.~~o..~~b ~',,&.' !)\~ ~\.u,fot"C"c()
U..o~ec.<\". $,10.> 1
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if work is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
. ,0-'>' IOc:o.~li:ol.
Electrical Contractor _~ Q.~i
Address ?-o'"" ~<Z.t'~-e.~o":>
Ci ty ~"C:>{""'e. Phone '3 A:'l.- \ i b"l.
Superv-tsor License Number .;, '\ 0 5 \. c,.
Expiration Date \0\ 0\
Constr Contr. Number 2...0 - 33 ~I....s
Expiration Date. \.Q \,0 \
Si~superv si
Owners Name ,",-\.\.\..6 ...Q..."o...... ~ 9-<>t e~",~-'
Address ~ 4. 0 €.. ~~""
'lo.kO~
Ci ty ",,-,-t> w "'-<. .\)>(" Phone
Ol/NER INSTALLATION 0 \ ~
The installation is being made on
property lovn yhich is not intended
for sale, lease or rent.
Owners Signa tureL__
---------------------------------------
DATE:
...\b....t..L.:j: .:
RECEIVED BY,
1!LECIRICAL PIUUlIT APPLICATION
City J~b Number 01 - 0() fS'-f'f-O J
3.. COMPLETE FEE SCHEDULE BBLOY,
Ney 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 Manuf'd Home, or
Hodular'Dwelling
Service or Feeder
$ 85.00
"
$ 15.00
,$ 40.00
.B. Services or Feeders
Installation, Alterations
s\~_~ 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 -----
S 50.00
$ 60.00
SlOO.OO
$130.00
$300.00
$ 40.00
50.Dc)
c. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 aDps or 1000 VOlts
D. Branch Ci rcui ts,
$ 40.00
$ 55.00 -----
$ 80.00 -----
see "B" aEOVe
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or yith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation _____
Sign/Outline Lighting_____
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
UO.--
-j',~
~()
IfY'. --