HomeMy WebLinkAboutPermit Electrical 2001-6-6
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NotilicationGenter. I' , . hOAIi\~~~'
, ARS52-001-0010IhrO~g '~'flMfrW
'OnOOgO You may obtain copies of tlli'(:t~D.ianMiT SHALL EXPIRE IF THE WORK
. (Not"'. the tel\"~''''-'' OT
ce.lling U,e center. UYt"f!ty Nnlilir.B1iofIZED UNDER THIS PERMIT IS N
, '-fM'''<> Oreaon II 'Ml:1rnlft'l
nunZ'Z5,..UITIl, 1.i.mE_T.>2-234<UN'MENCED OR IS ABANDONED FOR ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97~77
INSPECTION REQUEST: 7'Z6~.:a'l6:9AYPERIOD. City Job Number--D..I- DO.fZ...f -01
OFFICE: 726-3759
3. COMPLETE FEE SCHEDULE BELO\I
A. New Residential-Single or ~. ;"
Multi-Family per dwelling uni t. ....
LEGAL DESYR,IPTION Service Included"
n03 '2.'" a..j.Lj. 0700 D. Items Cos t Sum
tM lollowlng
. Iln\\lI9!l haa d..uSe
JOB DESCRIPTION . wln9prb\@e\@~1lIlu\reWOO1\csl&'!Lt. or less
SUob FL..J!. " (....~.-(1 ,..t;~;o.noclee~n@lroC\ A'~ach ~dditional.500
) plovaL .L.Vv"'-- so .. t v.L pOrtIon
Permits are non-transferablea~nd e~~~-- 0 the reo ~
if work is not started within 180 days (g-(p c Manuf'd' oll)e. or
of issuance or if work is suspeA or welling
180 days. ,,,"l\laO Signature Service or Feeder
,,,'
1.
LOCATION OF INSTALLATION
q 7:;>, rY\(' ,k'........ ~ CAJ,AJ-
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor beC\w~ .z:.\e~I(.;c.
Address f D. 1)0)<- :A';; g--::-
Ci ty 0:;:,,,) e.\'I1~ Phone ~ Sl) - t; "50"5
Supervisor' License Number <~\q:;
Expiration Date 10 -I. 0\
Constr Contr. NumbeL' q,\ C;-j '1
Expiration Date b -?-O - OC>
Sign~ure of Supervising Electrician
D_ --k .. .
Owners Name ~tl ':;c.~o..""",^-b",^c,
I
Ad d r es s q 13 mc> ~u:.... Q...........r-
Ci ty Sp~: ""1~L.t.& Phone--TI (,,;.. 3'5'51.
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
<::m:Cl3IHS\J8
:39N\JH~vners Signature:
09'19 $ <:::083Cl IH\J
100<:: LO Nnr:31\JO
61LSOue-f&~----------------------------~
DATE: (P-5- O(
RECE1PT 11: ~ "),IS
RECEIVED BY: <=P)L' J
B. Services or Feeders
Installation, Alterations
or 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
$ 85.00
$ 15.00
.$ 40.00
$ 50,00
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
0;;0. -
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
D_
Branch Circuits
New, Alteration or Extension Per Panel
"
$ 40.00
$ 55.00
$ 80.00
see "B" above
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit 3 $ 2.00 ~
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE 'i'
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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