HomeMy WebLinkAboutPermit Electrical 2001-2-9
" .
SPRINGFIELD
The following project 85 submitted has the tollowing
zoning, and does not require specIfic land use
2.2.5 FIFTH STREET approval ~
SPRINGFIELD, OREGON 97477 Zoning
INSPECTION REQUEST: n~~769 OZ-7-~....)
OFFICE: 72.6-3759
AuthOrized Signature j. COMPLETE' FEE SCHEDULE
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51-1 7.5/} Jar YI ::n-v-e e..1-
LEGAL DESCRIPTION
190 ~ 33L.{::J..... 0'3300
JOB DESCRIfTION I
/- ~"VI"LI;+ -I-v poweY" po e....
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days,
2.. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Philins Electric
Address 17qR P'"..),,,1 1)ri""
Ci ty EUQ'ene
Phone(~411 f,RR-h171,
Supervisor License Number 771qR
Expiration Date 10/01/01
-.
'TRA~S#:01-0004419
DATE:FEB 09 2001
AMT RECD:2 $ 38.50.
CHANGE:
CASHIER: 059
o I-DOllS -'000 1
':';LY Job Number
ELECTRICAL PERMIT APPLICATION
~w:," *
Items Cost Sum
A.
Ne~ Residential-Single or
Multi-Family per d~elling
Service Included:
$ 85.00
$ 15.00
.$ 40.00
$ 50.00'
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
2.6-34C
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
10-01-01
Signature of supervi~ ~~rician
<;:0 .
. b 'Njltnan ~l'\J..L1pS
O~ners NaiTIe -BI()(.~ UlS1-e.V- Vi~
Address 5475 VYlo.. i Y'\. ~i
Ci ty ~(" I (\o;1i ,.,IJ...Phone 22.h~h/(I-L/5
OYNER INSQALLATION
The installation is being made on
property I o~n ~hich is not,intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
"
1000 sq,f~. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf',d Home. or
Modular 'D~elling .
Service or Feeder
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
200 amps"oT 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 "B" above
"
Ne~, Alteration or Extension Per Panel
3 c:', 00
$ 35 . 00 :..;,
Miscellaneous (Service/feeder
-Each installation
.Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Add it i anal
Circuit or ~ith Service
'or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% S ta t e Surcharge "'-
3% Administrative Fe~
TOTAL
...L
$ 2.00
no t included)
$ 40.00
oS 40.00
$ 20.00
$ 36.00
35.<:70
g,50
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