HomeMy WebLinkAboutPermit Electrical 2001-7-26
The following project 8S submitted has the following
zoning, and does not require specific land use
approval.
Zoning
225 FIFTH STREET Date ' ' ...., IJ."'/ 01
SPRINGFIELD, OREGON 97477 1Je~
INSPECTION REQUEST: A~e~"#ijlj"~ture -' - -lJ =' Ci ty Job Number 1)1-00 bO 7 -at
OFFICE: 726-3759 *
3. COMPLETE FEE SCBEDULE BELOII
1. LOCATION OF INSTALLATION
4043. m,4.-llV' A. Ne.. Residential-Single or -
Multi-Family per d..elling unit. .
LEGAL DESCRIPTION Service Included:
1701. :,JL{!
C-6
OLf7Dc
JOB DESCRIPTION
I rJL-cr+ ~, St""-
Permits ate non-transferable and expire
if "ol'k is no t 's tarted ..i thin 180 days
of issuance or if ..ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor E"u:1eY\LE1ec::\v1fJ
Address 120 rYIol)roe. 51,
Ci ty ~/-13 E'Y\?
Phone s4Lj.-3S'lDl
Supel'visor License Number IOqZ;S
Expiration Date !O/Of/Ol
Constr Contr. Number C.CB Cj02.00
ELECTRICAL PERMIT APPLICATION
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'D..e11ing
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 4().00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date 3/17/03
Signature of Supervising Electrician
~. ~..;....'1 ~
tJ.
O..ners Name S1 +p- w,)ct.LL Cv",.,J.,.-
Address Po (5oV'
/cS>~-3 7
Ci ty f.3.A..6-bt/?' Phone 6'6'6 - 9.3ID
'971.(4'(
O\INER INSTALLATION
The installation is being made on
property I o..n ..hi~h is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT II:
RECEIVED B'Y:
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00,
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