Loading...
HomeMy WebLinkAboutPermit Electrical 2001-12-20 . . The 101. ~rOjeCI as submitted has Ihe loll owing A 225 FIFTH STREET lonlng, and does not require specilic land use ELECT_AL PERMIT APPLICATION SPRINGFIELD, OREOOP1~77 Cf.." ~ I INSPECTION REQUEST: 726~ 3'J .:JJ Numbed)/-O / J 0 7-0 OFFICE: 726-3759 Date \:1 . ~ ,f)1 , 'DVLIl.t.o/ COMPLETE FEE SCHEDULE BELOW 1. LOCATION OF ~S1~t'Artib'l.!/ature .. -- . ! ~lJqr; /Ylt:UAl S+ A New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION /7()'/., 3332 o.s-30 0 JOB DESCRIPTION , in,s fa II $eoady Permits are non-transferable and expire if work is not staned within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor (~YJ ,"+r)) / ~(Uflty Address 14)( G~Of1<;h.de I~. ReI. I City EU(j'eJU Phone..!lfo!-5(P-Zff Supervisor License Number /(08'9 f( E r Expiration Date /0 - / - 6 2... Constr Contr. Number &'5 /4q Expiration Date tf,-?JI-DLf Signature of Supervising Electrician a~-- Owners Name cS U/'W Le f' Address 615q5 /J1tJ/iJ 5-1. City .<nr ,~t1.q fr e MPhone 744- /, 25?> O~~ALLATlON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: T90:CJ3IHS\7::J : 39N\:!H::J SL'tS $ G:0::J3CJ 1W\7 wOG L1 ::J30:31\70 T~SLOOO-TO:~SN\:!~1 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 40 I amps to 600 amps 60 I amps to 1000 amps Over 1000 ampslvolts Reconnect Ouly C. Temporary Services or Feeders InstaIlation, Alteration or Relocation 200 amps or less 20 I amps to 400 amps Over 40 I to 600 amps Over 600 amps or 1000 volts see tlB II above D. Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited EnergylRes Limited Energy/Comm ~ Items Cost Sum $106.00 $ 19.00 $ 50.00 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 S 50.00 $50.00 $69.00 $100.00 $43.00 $ 3.00 $50.00 $50.00 $25.00 :::x $45.00 450"0 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 5. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee TOTAL 4SOV ..5J75