HomeMy WebLinkAboutPermit Electrical 2001-7-26
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The following project as submitted has the following
loning, and does not require specific land usa
approval.
225 FIFTH STREET Zoning
SPRINGFIELD, OREGON 97477
INSPECTION REQlJESTPal.h<l-~1d;
OFFICE: 726-3759 Authorized Signalur.
UC-
1(;).(.,/01
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3: ~UMPLETE FEE SCHEDULE BELOV
ELECTRICAL PERMIT APPLICATION
Ci ty Job Numberp/-OO 71.(~ - 0 I
1. LOCATION OF INSTALLATION
444/ mil if) ~-I-,
LEGAL DESCRIPTION
I/O Z 3'2-3 I 6L,L/OO
JOB DESCRIPTION
/11.<::.+-al/ 5~{"u. r"+\1
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PermitS are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Snn it rnl Securi ty
Address P,Q. Box 21009
Ci ty Euuene
Phone.461-5678
Supervisor License Number //p'iJq i<IT
Expiration Date
/0 -0/ -01
Constr Contt'. Number 65149
Explratlon Date
6-28-00
Si~ature of Supervising Electrician
'7d~
/l D.
Ovners Name bre:<.u '\ G"vrdL1J l.-tnfer
, I
Address 444/ ffltflr'n 5-1.
Ci ty &prt'1fh'-e/cLPhone 74 7-2~D/
OVNER INSTALLATION
The installation is being made on
propert~ I ovn vhich is not intended
for sale. lease or rent.
Ovners Signature:
---------------------------------------
07/801
~~
DATE:
RECEIPT ~:
RECEIVED BY:
( ,/1 (/
(0' I v
,
A. Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof S 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder S 40.00
B. Services or Feeders
Ins talla t ion, 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
S 50.00
$ 60.00
$100.00
$130.00
$300.00
S 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
S 40.00
S 55.00
$ 80.00
volts see liB" above
Branch Circuits
Nev, Alteration or Extension Per Panel
$ 35.00
One Ci rcui t
Each Additional
Circuit or vith Service
or Feeder Permit
S 2.00
E. Miscellaneous (Service/feeder not included:
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S ~.OO ?,l/>lJV
::;:; --<
5. SUBTOTAL OF ABOVE 310 ~~ ~
"f>% S ta te Surcharge d- ~~':' ~
3% Administrative Fee /":fi~'lfn.='
TOTAL ( ~, rd'!T ~ .
~n"'f-'-
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