HomeMy WebLinkAboutPermit Electrical 2001-3-14
SPRINGF~ELD .1'
The following project as submitted has the followin
zoning, and does not require specific land use
approval. ---t-7
Zoning -t'1 jJ
225 FIFTH STREET Date 2, ~ I Y: -0 \
SPRINGFIEW, OREGON 9747Zull10Jiled Signature -I...vJ
INSPECTION REQUEST: 726-3/b'J -
OFFICE: 726-3759
>T "CTRICAL~EBHT APPLICATION
\;HY Job NunbEI c') ( - o-v ;l3'-{-0 (
COMPLETE FEE SCHEDUll, BELOV
New Residential-Sin~l~ or ::k
Multi-Family per dWElling unit. '
Service Included:
. Items Cos t Sum
,
3.
1. LOCATION OF INSTALLATION
15o-? N\Al,!"t..Rh .4,\p {GA~::lf;o/R.b P~RJ2) A.
LEGAL DESCRIPTION
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf' d Home. 01'
Modular 'Dwelling
Service or Feeder
JOB DESCRIFTION
bJE',:" ,. ,_:)'t'-..>:..R6R./)l..l"-"-" ~P-v)/"A
$ 15.00
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
$ 40.00
Services or Feeders
Installation, Alter;..:ions
or Relocation:
.B.
Electrical Contractor ~\~
$ 50~00 IISD ~
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps o'r less
201 amps to 400,amp:;
401 amps to 600 amp"
601 amps to 1000 amp"
Over 1000 amps/vc:.lt,;
Reconnect Only
Address
Phone --"
City
Supervisor License Number LfO 2 <.. S
Expiration Date f ()-]-o \
Constr Contr. Number /VA
Temporary ServieE,s .",. Feeders
Installation, Altera:ion or Relocation
C.
200 amps"oT less
201 amps to 400 2;mp.:
Over 401 to 600 amp.;
Over 600 amps or 10'}) vol ts
$ 40.00
S 55.00
$ 80.00
.see "B" above
Expiration Date
l\LA
Signature of Supervising Electrician
0mmdA. D.~~II/
Owners Namell )"IIJ.~.I "'N' Br/( Dl-5"i ~
Address?rv> <. ",,;f( .
Branch Circuits
D.
"
New, Alteration or .,,,tension Per Panel
,
lOne Circuit S 35.00
Each Additional
Circuit or with See_ice
or Feeder Permi I: .Z.... $ 2.00
Phone '73/-,- '10117
Ci tYSl>~I""'t:I..c:Jf')
<(.-""'
OlINER INSTALLATION . ( ~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Sl!rvi;:e/feeder not included)
." -Each installation
Pump or i rriga t ion S 40.00
Sign/Outline Lightinr~ $ 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm $ 36.00
Owners Signature:
4"
5'1~
?,~7f3
,. i ,6 Z.
/7 C:Cf,Lj /}
zm: ~:m-l~H'1
~~~~~HIiAf-~;~~~--~----------------------------
tooz ~ .~.
L99~00u- .::iN l'
5. SUBTOTAL OF ABOVl>
7% State Surchaq~e
3% Administrativ.~ Fe"
TOTAL