HomeMy WebLinkAboutPermit Electrical 2001-1-25
. ~ t'\<'"'1i'tl:llj has the
The following prolect ~~ .:: . 'soeci1ic Ian
loning. and does I"\O~ re~\,.IIH:
approval.. Q.. Q..
. Zoning
225 FIFTH STREET I~;;).S - 0'. ~I.Fr'I'IlT("AJ, PERMIT APPUCATION
SPRINGFIELD, OREGON 97477 Data ~.
INSPECTION REOUEST: 726-3769 Authorized Signature(.HY 0100 Number of -ooob.K- 0 \
OFFICE..'_. 22j.-i~fL. "0,." '. _~ .=rJi'i;i'E""'"'. W':t.'ij;rl'.;~;;... ..:;.C,~ . "~~.;~';;.~. :~itiiW";<;~~:,\f,".:5illi"'.l:;'~. f~~it€. ,i}.~.:i" ~~J,'
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!I:.~I4'c:::::;;lj;'.f'f:':\d~ii'~';;:,";,"lffi -, -, .,- A.""New ReSldentlal-Slngle or .
Multi-Family per dwelling unit.
Service lncluded:
LEGAL DESCRIPTION
170z..~
o/o:::x:::::> ,
r<!OB DESCRIPTION
~~.,CL....1
Permits are non-transferable and expire
if work is not started within 180 days -
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
. Electrical contractozQ.Q.I=lP'+~I~~J"I!I"'!.
Address \)0 ~oJ< ,..:),..'),::l,j
c:it~_~_ C\""H:la. Phone ~4-3, - \ lo'i? (
. eupervlsor License Number I ~."'\
ExpirationDate \0-01-0\
Constr Contr. Number. ?-,'Y( Q{i) I
Expiration Date <\ - ILl - O<J,..
Si~rture of Supervising Electrician
7 J.->> hvYl ~ rrJ J~.n ~ /
Owners Name\' "''^''''''"....... ,~\ \"(\"-\-,, \
Address. . \-t'cQ.~S
Ci ty Phone'ID-9.(^qq~
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
,
Owners Signature:
. . ~ ." .'1
...------------------------------------~.
0/2S-OI
DATE:
RECEIPT 1I:
RECEIVED BY:
'-13/0
~~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd "Home. or
Modular'Dwelling
.' Service or Feeder
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
Items
CoSt
Sum
$ 85.00
$ 15.00
. $ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
-'.
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
vol ts 'see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited, Energy/Res
Limited Energy!Comm
One Circuit
Each Additional
Circui t or wi th Servi~ .
or Feeder Permit ~
E.
5,
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00 ~ Q:;)
$ 2.00' ~
not included)
$ 40.00
$ 40.00
$ 20.00 '--'
$ 36.003.....~
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