HomeMy WebLinkAboutPermit Electrical 2001-10-22
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SPRINGFIELD
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The following project 8S submitted as tea OWing
zoning. ana does not require specific land use
approval
225 FIFTH STREET Zonln" tG
SPRINGFIELD, OREGON~7An. IO/,!;}!JtO!
INSPECTION REQUEST: t2b-j/b'1 . D p/JuV'" City Job Number
OFFICE: 726-3759 A"rnonzed Signature vvvvl
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF IN~j\L~I~J.J
.!)144- '<Y'<"li ~ ~\(J
LEGAL DESCRJPTION
[(. O~ .~:?~I
I QO:J-..
JOB m;SCRIPTIQl-\. '. ft
QQ.YI~0t 'it).J ~INh/ll1_. (11 ((Ill IT'
.Permits are non-transfe~ble 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 contractor~.l1{)-~
Address lDUJ ..\i nlfIJ}j!Jd .
Ci ty f).)J)J..n . Phone Ill{6.?~
supervisV License Number ~ 1-:51 q
Expira tion Da te J Oil) I
Constr Contr. Number 714qD
Expiration Date ~J~~
Sign~~J1;7
Owners Name~~~
Address?CJDU 2?Hj
Ci ty rU.O ~dlf, Phone,:;S44{){OKL
O~NSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT jI:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Servi~e 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
uni t.
~
Items
Sum
Cost
$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Ou tline Ligh ting .1-.
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
"$% State Surcharge
8% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$ 40.00
$ .40-;-00
$ 20.00
$ 36.00
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