HomeMy WebLinkAboutPermit Signage 2001-9-12
.
SPRIN.ELD
zoning, and does not require specific land use
approval., r c;
ZOning Y
Date ' '1f!?-1 0 I
.~
o '
225 FIFTH STREET Authorized Signature
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCA').'ION~F STAL ;q:pN """"qo
'2.tlU ~ rJIo.u\ ~. Jd ft2. '1' 1"1 "
- - . I
LEGAL DESCRIPTION Ii 02. ~/ ~ I ~Of
...r=;- ~'3- 2.::: d, . 0({)~ 2.-
A Tnu nR~("1:lTVT'TntJ. ~ '
1(\~A~ ~~\W~~ ~Mtlt.lL\'l~i<iW
~t1&e no~a~ferable a-nd expirerrh..1
if work is not started within 180 days I~'
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contractor~~ A~'~.~
Address \~ II) ~.h ~'fI J .
Ci ty '71x- f uJl dL Phone FI-lI.Ll~ ~(p
~ . ,(
Supervisor License Number ~~ ~t~
Expiration Date (D!()(!/);:L.
~ ~r:" C..
Cons tr Con tr. Number Ill':), IT")
Expiration Date 101?ziS)llJ
Sign~~. f Supervising Electr.ician
/(.-4'_. ~'
Owners ~ame'~d ~Ci~
Address~Ltt;; V\IIp.tit LilADd-
Ci ty~\Ot~ lt~. rt. Phone ~~':>
~~N
The installation is being made on
property I own which is not~intended
for sale, lease or rent.
7C'0 S'
u_ Ovners 19nature:
Og'I..':i $
1:000 n d3S
LS~7DDD=~~~~---------------------------
DATE:
RECEIPT 11:
RECEIVED 8Y:
ELECTRICAL PERMIT APPLICATION,
3.
Ci ty Job Number t)/ t70 '7'22- <;iJ /
COMPLETE FEE SCHEDULE BE~II *.,-."..
New Residential-Single or
Mul ti-Family per dwelling uni t: '
Service Included: '
A.
I terns
Sum
Cost
,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular.Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 50.00.
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
40.00
40. 00 ..uA-.110 60 .-
20.00
36.00
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
-S
$
$
~F)/) .
.-