HomeMy WebLinkAboutPermit Electrical 2001-07-16SPFrIN D
1000 sq.ft. or 1ess
Each additional 500sq. ft or portion
the reo f
Each Hanuf,d Home orModular Dvelling
Service or Feeder
oo 7z: -c (
@fi,The tollowing pro,ect as submitted has the tcllowlngzoning. and does not require s peciftc lano useapproval
Zoning.t-D3
225 FIFTH STREET Date 1 u7 0/
SPRTNGFTELD, OREGON 97477
INSpECTION REQT EST : A*bgt_.ggggnature
OFPICE:. 726-3759
ELECTRTCAL PEIUIT APPLICATION
Ci ty Job Nurnber r)/ -
3. COHPLETE FEE SCIIEDULE BELOIJ]-. LOCATTON OF
3
JOB DESCRT
oorct
e and expirein 180 days
uspended for
TALLA,n
ON
New Residential-Single orMulti-Family per dwelling unit.Service fncluded:
ftems SumCos t
s 8s.00
s 1s.00
s 40.00
s s0.00
s 60.00
s100. 00
s130.00
s300. 00s 40.00
s 3s.00
$ z.oo
S-oo
Permi ts are non- t ransferai f vork is not .s tarted viof issuance or i f vorlc is180 days.
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Add ress 5
cit Phone 4t:-O '/2)
Supervi_qor License Number 3,gC-S
Expiration Dare I 0- t -o/
consrr conrr. Nunrber 4lct l_o
Expir.arion Dare l)-tc-oj
Signa f Supervising Electrician
Owners ttame S
Address J€f
Temporary Services or Feedersrns talLation, Alteraii;;-;r:';u1ocarion
200 amps, ,or les201 ;m;; ;; ;;d'^_ $ 4o.oo
gver 1ei i; ;oo lfrii _ 3 i3:83 _
Over 600 amps or rbOO-GTt" J"] ,,8,, aEiE_
; nkq\^nch
ci rcui ts
J Nev, Alteration or Extensiol per
2. CONTRACTOR TNSTALLATION ONLY
Electricat conrractor BtrilclefS CEClfrC ,
B. Services or Feedersfnstallation, Alterations
lf C or Reloca t i on :
200 amps or less I201 amps to 400 amps L
401 amps to 600 "riri
-._--
60L amps to 1000 "rp"-Over 1"000 amps/volReconnect Only
C
Ci ty Phone One Circui tEach Addi tionalCircui t or vi thor Feeder permi t
PaneI
included )
OIINER TNSTALLATION
The installation is being made onproperty r ovn r,rhich is ilot-intenaeafor sa]e, lease or rent.
Orners Signature:
MiscelLaneous (Service/feeder not-Each installaiion
Servi ce
I
Pump or irrigation
:]cTa0y r.Line Ligh tins-
:]*] t"g Energy/Re
Lrmr ted Energy/Comm
$ 40.00
s 40.00
$ 20.00
s 36.00
DATE: D
RE
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RECETVED B
SUBTOTAL OF ABOVE/^\. l\^te Surcharge
3Z Administrative FeeTOTAL fi
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