HomeMy WebLinkAboutPermit Electrical 2001-3-26
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DEVELOPMENT SERVtrm,~Ji1g-e~UlM~J;;s submitted has the following
zoning. and does not require specific land use
approval
Zoninr
225 FIFTH STREET Oate
SPRINGFIELD, OREGON ,j!lAU'l.cLSiQnature
INSPECTION REQUEST: i~6-jI6~
OFFICE: 726-3759
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1. LOCATION OF INSTALLATION
...5!::li$. r'Yl A I (0 S'\ru::<.='i
S' LEGAL DESCRIFTION
. At=FuJ ~ r70Z. 338 'L
.
033,00
(\",JOB DESCRIPTION I 1-.
-.:L'A\I IN~~
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
Elec tri cal Con t rac tor'NFrIJ.}(l/t \l ~~l--lEC."W- 'S
Address.Q,(). t\~ l'4\ 8-
:>.;.1
Ci tt)at=:-hQ10 C'_ \~. Phone~?, '-,<:::::0 -=t:ri.../8
S'upervisor License, Number cJLE- 32b /
Expiration Date /0/0/ jo;;L
Constr Contr. Numb:r / b~C14 2 c.
ID\o\
Expiration Date
C1t:J ~Electrician
L-V ' v ---'
Owners Name S,4-~v7 .eNe,
Address /6300 s.e- Pt/~'YN <:::. TII2l--e-T
CityO(le6-cW' c-;-.J.." Phone5Zl~is7- b'lffb
9701 S-
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: D'3 z.6eP I
,."",,".Lrl 11: "-i /b~
RECEIVED BY: "I?
-;.....
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
3.
ELECTRICAL PERKIT APPLICATION
City Job Number Ole, - f}(Jf100-0'l.,
COMPLETE FEE SCHEDULE BELOV *:
New Residential-Single or
Multi-Family per dwelling unit. r
Service Included:
A.
It ems
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
$ 40.00
$ 55.00
$ 80.00
see nB" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00:r>
$ 40.00:5,...,:;d
$ 20.00;('~~
-L $ 36.00 ~
c:-J t::l ..
Of ...~ ..:DO
,1.''' ' u~ I'-J ;;0 '1
~'2.,'5~O"'tF8
, ,.D~~~o.J~
$ :>-O\,~'" 8~
I--'-..Ol--'-U
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL