HomeMy WebLinkAboutPermit Electrical 2001-09-10The following pro,ecl as submitted has the lollowing
zoning, , loes not require specilic land use
225 FIFrH STREET
APPTOVAL--
sPRINc FIELD, oREGoN gl?1l"s
TNSPECTION REQUESE:
OFFICE: 726-3759,Authorizerj Signature
\24&"No'INSTALLATIONIthJ f--
ELECTRJChL PERMIT APPLICATION
Number O o a -o (
3. COMPLETE FEE SCHEDULE BELOW
A. New Residential-Single or
Multi-Family per dwelling unit.
Service lncluded:
l-
of
LEGAL DESCRIPTIONl70z>oc( <o(702
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Permits are non-transferable and expire
if work is not started within 180 days
ofissuance or ifwork is suspended for
180 days.
Electrical Contractor !;,/,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manul'd IIome or
Modular Dwelling
Service or Feeder
Installation, Alterations or
Relocation:
Items Cost Sum
$ 106.00
$ 19.00
$ 50.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
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Address
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Supervisor License Number I LKIS
Expiration Date )c-c,)-ol
QO-IVL
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Recrnnect Only
C. Temporary 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 see
"8" above
5. SUBTOTALOFABOVE
7%o State Surcharge
8% Administrative Fee
Constr Contr. Number
Expiration
)r ),l ,non" 7'l I );3($ 75.00
$ r 2s.00
$ r 63.00
$37s.00
$ s0.00
$s0.00
$69.00
$ t 00.00
t-
Signature of Supervising Electrician
Address
owN INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovmers Signature:
v4u va :off
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D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $43.00
Each Additional Circuit or with Service
or Feeder Permit $ 3.00
E. Miscellaneous (Service/Her not included)
-Each installation
Pump or irrigation $50.00
Sign/Outline Lighting $50.00
Limited Energy/Res $25.00
Limited Energy/Comm $45.00
Tn,'1 , \r1Tr lnLrrll:/U''l.f 1n'f U.,
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5 0.{Et'II S d:03iH IHUTnn-./ nT t-lrl . -1 I urttuutr UL 'flJ.ilIVUnl.ni-r/nn.1 Tn . *fll lU\l Iil I 7'l t-,UV- tU . {+rllYV'lI TOTAL 17 q5
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