HomeMy WebLinkAboutPermit Electrical 2001-08-13zoning, and does not require specific land use
approval.
Zoning
Date
225 FfFTE STREET Authorized Signature
SPRINGFTELD, OREGON 97477
INSPECTION REQUEST:. 726-3769
OFFICE: 726-3759
1. LOCATTON OF ALI,ATIONZZ-
I.EGAL DBSCRTPTIONt7 b73Z-33
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR TNSTALI.,A:TION ONLI
Electrical Contract
Address L9 tJ^/ >(6rc,
-tl€
ci ry E-t tGur'e' or+ot E- Lo7 47Of
S -INGFIELD
EIJCTRICAL PER}TIT APPLICATION
City Job Nrrrnber Ol -OOSOq -r-:^l
COHPI.ETE FEE SCEEDTIIJ BELOV
o
3
A
o)ge
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:fteps Cost
1000 sq.ft. or less i S 85.00
Each additional 500
sq. ft or portion
thereof
Sum
6>
-ras 15.00 / )
Each Hanuf'd Home, or
-Hodular 'DveIIing
Sertice or Feeder .$ 40.00
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date ba o 3
Signayare.ulectrieian
B. Services or Feeders
Installation, Alterations
r 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
C. Temporary Services or Peeders
Installation, Alteration or Relocation
s s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00,o ot
200 amps"or less
201 anps to 400 arp=
-Over 401 to 600 amps
Over 600 amps or 1000 vofts
Branch Circuits
s 40.00
s ss.00
$ s0.00
see rfB" aEffix
D
Ovqgfs Name ?J lJ-o,ne.=
Address la C"ts t ?f
Ci ty e r*.'-tr€//Phone br -L782
OUNER INSTALIATION
The installation is being made onproperty f onn which is not intendedfor sa1e, lease or rent.
Ovners Signature:
DATE:
New, Alteration or Extension Per Panel
One Circuit
Each AdditionalCircuit or vith Serviceor I'eeder Permi t
s 3s.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40
Sign./Out1ine Lightirg- S 40
Limited Energy/Res
-
$ ZO
Limi ted Energy/Comm $ 36
,S{JBTOTAL OF ABOVE7& sr^re surcharge
3Z Administrative Fee
TOTAL
.00
.00
.00
.00
5 r.J
{
RTCETVET)BY:
O
_ry
86,?
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