HomeMy WebLinkAboutPermit Electrical 2001-5-3
.... .
'.I~~FIELD
... . .... ct as sUbm;t\edhasct~:n~ use DATE: MAY 03 - 200i
. 1M lollowing p~~~e not 'raqui,e speclII. ,... " . AMT REeD: 2 $ 40,70
zoning, end d . <no' f). ...'. ..~ CHANGE:
app,ova!. . r~ -' .
CASHIER: 061
Zoning~_,?_o \ Ii . :='ELECTRICAL PERMIT APPLICATION.
~T . "1'\- .. .
iZ~~9ignatu'e - Ci ty J~b Number 0/-00 '-129.. -0 /
..p'-
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
/00/ mA-n./ ,T~"r-.
LEGAL DESCRIPTION
1703 "3S-~1 .
0-5?,O.d
, JOB D~SCRIPTION .
,=....-ktl -1,.10 '-L;~
C.:a _. -:-fs.
Permits are non~transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days, .
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contracto/\'SEIC'c\Yl'c...;~IC,
Address 0,0, GO/- \L\q2- .
Ci ty~l)/\ \',9ht'ld Phone ILfl-223~ :
Supervisor License Number )10 ~ IS
. \ 0 '.,()I-Q I
3?y.Q
{)-01-02
Expiration Date.
, Constr Contr. Number
. Expirat{~n Date
SiC!1,Of
o~-Irs Name
Super~isirig Electrician
~,Jl
v .
$14(3
Address ~c::? E'd -/ 3<:; 0
City .. >PFi~ .Phone7{';'1<>?Z7
OVNER.INSTALLATION
The installation is being made '6n '
property I .'o~n ~hich is not in~ended"..
for sale, lea.e ~r rent.
Ovners Signature:
DATE!
RECEIPT #:
RECEIVED BY:
())--o>~.l
5/'5?
~t?
'3: COMPLETE FEE SCHEDULE BELOV
A.
Ne~ Residential-Single or
Multi-Family per d~elling
Service Included:
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'D~elling
Ser~ice or Feeder.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 am~s to' 1000 amps
Over 1000 amps/volts
Reconnect Only
uni t..
Cost Sum
$ 85.00 .
$ 15.00
$ 40.00
Items
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
'",
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 amps or 100u
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "BII above
Ne~, Alteration or Extension Per Panel
.'
One Circuit ( $ 35.00 ~~
Each Additional
Circuit or ~ith Service
or Feeder Permi t I $ 2.00 7
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
no t included)
$ 40.00
$ 40'L
$ 20. o=ti
$ 36. :D
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