HomeMy WebLinkAboutPermit Electrical 2001-07-16The following pro,ect as submitted has the following
zoning, and does not require specilic land use
approval.
zonrng
Date
SPHItrlGFTELD
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
SUBTOTAL OF ABOVE
7% state Surcharge
3Z Administrative Fee
TOTAT
,. l
tu:'
40.00
55.00
80. o0
ee trBtr a56ie
$ 3s.oo
$ 2.00
not included)
40.00
40. oo
20.00
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/'tfo
1J.
1
LEGAL DESCRTPTION
JOB DESCRIPTION Z
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI.ATION ONLY
Electrical Contractor
Address
Citv Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Address 98O ){at" Vt.rcr
Citv 1D€r i)
--
Phone 7ry1- I 2t?
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
Ovners S
DATE:
PERHIT APPTICATION
ty Job Nunber o
3. COHPTETE FEE SCffiDUI,E BELOS
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each addi.tional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
c
200 amps or less t/'- -
20L amps to 400 amPs
-
401 amps to 600 amPS
-
601 amps to 1000 amPs-
Over L000 amps/volts
-
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amPs
-
0ver 401 to 600 amPs
0ver 600 amps or 1000Er[s
Branch Circuits
Nev, Alteration or Extension Per Panel
0225 PTI1r'E S]REET
SPRTNGFIEIJ, OREGON 9
INSPECTION REQTIEST:
0FFICE: 726-3759
'(dtllrizea Sionature
726-3769 "
INSTALLATIONg'u lt-Act lvTtP
Sum
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
s 40.00
$
$
$
S
D
E Miscellaneous ( Service/f eeder
-Each installation
Pump or irrigation Ssign/outline-Lightins- $Limited Energy/Res _ S
5
RECETVED BY:
ture:
5s:ao
tl
ovners Nane frrprk D. CAl.tr,uiEZ