HomeMy WebLinkAboutPermit Electrical 2001-7-26
iThe following project as submitted has the following
zoning, and does not require specific land use
apprpval, r
It. ioning:V - ~- - ' J~\'. f~ ".."-!'. -
225 FIFTH STREET .., Dale 7{::;.r../O' . ELECTRICAL PERHIT'APPLIG~T:tQN
SPRINGFIELD,. OREGON 97477. .' Of i.ill.J..J:-
INSPECTION REQuEST, '~Q!!fl'MJ,gnalure -: --J--' 'City Job Number (':) I -OOS~_-?- ~r
OFFICE: 726,;.3759' ."
3. COMPLETE FEE SCHEDULE BELOY~
1.
LOCATION .QEJN~T~LATION )
.-z, ."3 C> '\ VV\C...)<. t:f..-II (
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LEG~ PESCMPTIgp J70.L 3/3/
Y./.P.C:V - f-.tJ{ CAy o'S" /0 (
JOB DESCRIPTION . L.
+L r <=F G n:_.....v...<.I'..
Permits are non-transferable and expire
if work is not started within ISO days
of issuance or if work is suspended for.
180 days,
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractor~~~ t:~~
Address '2-1~ 0 fW~~.
Ci ty r.::zLJue,J e
Phone ~"Y-- L/-.;r;~
Supervisor License Number ~ l-S'"i?
Expiration Date 10-( -01
t./'/31 (
1-""Ol--O~
Constr Contr. Number
Expiration Dafe
~f :::z:LJ~rician . .
r- U D.
Owners Name ~c;<.:...., ~
Address ;?--., C; 70: :~/ldt~
CitY:L.~&I..
f!1one 4Fr79bg;
./
".,." "
OIINER INSTALLATION-' .
The installation is being made on
property I .own which is not intended
for sale, lease or rent.
O1mers Signature: '.~-.
\
\
DATE~---2:)~-(~(;5-7--------i,-~-~----
RECEIPT #: (9' v
RECEIVED BY: 'tJ?
. A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
'~OOO,"sq, ft, or less
Each additional 500
sq. ft or portion
thereof
Each'Manuf'd Home. or
Modular Dwelling
Service or Feeder
.
.
Servi~es 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
Re~onnect Only
,r ~
unit. ~~A
. Items. , Cos t ,c IT-' "S~m
>- .
'$ .S5,OO
f .-t.
$.! 15.00
.~
.$ 40.00
$ 50,00
$ 60.00
$100.00
$130.00
$300.00
$. 40,00
C,
,
Temporary Services or Feeders
Instpflation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Ove. 401 to 600 amps
Over 600 amps or 1000 volts
.,
Branch Circuits
$ 40.00
$,55.00
$ SO.OO
see "Bit
~ --
a Ti"OVe
,~:'" q..J (a
."
New, Alteration or Extension Per Panel
{
$ 35.00 g',db
. -. ~.. ....... ......~
'if.n
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t 'V'. .,$' ,.2,00.
. . . ...M_..
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'
nO.t included)
$ 40.0Q;
._$ 40.0G1S???
$ 20.00'--12
$ 26.00~.'ii
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