HomeMy WebLinkAboutPermit Electrical 2001-01-24OREGON'CITY OF
225 FIFTE STREET
SPRINGFIELD, OREGON
INSPECTION REQIIEST:
OFFICE: 726-3759
SPFII] IELD
BLECTRICAL PERHIT APPLICATION
ty Job Number - ooa 3^O
I tems Cos t
$ 8s.00
3. COHPI,ETE FEE SCEEDIII.E BELOV
A. Nev Residential-Sing1e or
MuIti-FamilY Per dvelling unit'
Service Included:
The {ollowlng prolect as submitted has the tollowing
;;;;;;;'i"ei not require speciric land use
approval
Zoning
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7&frr,&J6& sisnature
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1. LOCATION OF INST 0Ni
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o8'/ 0 6IIEGALDESCRT
obLt I
PTION Sum
tKo
JOB DESCRI
and expire
180 days
pended for
. iltol1ttt z
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home' or
Modular Dvelling
Sertice or Feeder
401 amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amPs/vo1ts
-
Permits are non-transferable
if vork is not started vithin
of issuance or if vork is sus
180 days.
2. COMRACTOR INSTALI,,ATION ONLY
Efectrical Contractor
Address
B. Services or Feeders
I d.,*'A nstallation, Alterations
r Relocation:
200 amps or less
201 amps to 400 amPs
$ 1s.00
$ 40.00
q7{h on
00
00
00
00
00
00
$ s0.
$ 60.
$100.
$130.
40$
$
$
$
s
r*r ..J._t:.l#
-J =''rq*+-
:,:f,+
00
0ft,
0fr
$ +0.
$ ao.
$ 20.
$ so.
Ci ty
Supervisor License Num uer .457IS
Signature of SuPervising Electrician
Ovners Name l4//{_1-t 4 e {zQv6y
Address tZz -7 S. 6?*^ :F
city 3l FN Phone -ZZl L/
OVNER TNSTALT,ATION
The installation is being made onproperty f ovn vhich is not intendedfor sale, lease or rent.
Onners Signature:
80.00
ee .Bn aEove
D
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. MiscelLaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lighting-
Limited Energy/Res
-Limi ted Energy/Comm
$300
Reconnect OnlY
Expiration Date in-2P*ol
constr contr. Nunber E3f 5-7
c.Temporary Services or Feeders
Installaiion, Alteration or Relocation
200 amps''or Less
201 amps to 400 amps
-
0ver 401" to 600 amps
Over 600 amps or 1000 voTts
Branch Circuits
Nev, Alteration or Extension Per Panel
40.00
5s.00
L".tDATE:C}
+..
IC)c)C}
{rLN T.J
RECETYED
OI
3o
5. SUBTOTAL OF ABOVE
7% State Surcharge
37" Adninistrativa Fee
TOTAI
{){=)
L.l(3
Expiration oate /2 fl?.-'Oz-