HomeMy WebLinkAboutPermit Electrical 2001-11-16
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:tIie;- g pro/eet 8S submitted he. the following
22S,FlF1H STREET ,lOnin'" dolls not require specific lend use ELEA PERl\.fIT APPLICATION
SPRINGFIELD. OREClO)fr~7 f' r
INSPECllONREQUEST: 726~..,,-<,--,._ ' Cilv Job Number 01 - 0/1 g t' - 0 {
OFfICE: 126-37~9 1:>.,. -.l~/J!!jor. -,
'D~JL:1.COl>fPI:ETEFEE SCHEDULE BELOW ~
I. LOCATION INs:F,' tI1QN..,;il.\..-VVV-j ,
/7it-7 ~/NN~ ' A. NewReoidentia1.Singleor
Multi-Fannly per dwelling unit,
LEGAL DESCRIPTION / / / 00 SeIVice Included:
/70 5~b3 Obb , ' ,Items Cost Sum
JPB QESCRIPTION b ; 1./. . 1000 sq,ft or less
rfk.()lPrtG PtI.'5Ii'fJ "K. WL#'l C{~etLI r &clladditiona1500
1J~&fka<:. OftNcL., ' sq. ftorponion
~ermilS are non-transferable and expire thereof'
ifwork is not Slaned "ithin 180 days Each Manufd Home or
of issuance or if work is su.<pended for Modular Dwelling
180 days. Scn-iee or Feeder
2, CONTRACTOR INSTALLATION ONLY
EI~cal Contractor L . If, ~Rff6~A-rYf,
, IAI 'tv'
Address (j;g VIIt3Sr I I r 5-h<6t31
CiLy;2p:f1 D , Q74-1.Jone...:l..t1, 7 I (P(P3J
Supervisor License Number /4-73 C;
Expiration Date /0/ tJ 1/ tJ'f .
Constr C<lntt. Number Fb1'Q
/Z/)5/0Z
,
E~-pirntion Date
Signature of Supervising EI~cian
4/5~
O""ersNameIf'OWA-Ifl'O'Vu..
, 'I}. ,
Address /7 t.J 7 111,4 / IV G'rK. .
CitySiztln, qllf1Jbonc 7fb-Sb2/
O\VNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rc..111.
Oll"ers Signaturc:
190:~3IHSI;!8
: 39NI;!H8
9Z'98 $ Z:083H lWI;!
100Z 9Z 18D:311;!O
Z60l,OOO-10 : #SNI;!~l
$106.00
$ 19,00
S 50,00
13: Senices or Feeders
r lnstallatiOIl, Alterations or
..L/lIc.. .Relocation:
200 amps or less
201 amps to 400 amps
401 alUps to 600 amps
601 amps to 1000 amps
Over 1000 arnps/volts
Reconnect Only
-
-'-$63.00 03,
$ 75.00
.$125,00
S163,OO
$375,00
S 50,00
C, Temporary Scroices or Feeders
Installation, A1t=tion or Relocation
200 amps or less
201 amps to 400 3nIpS
Over 40 J to 600 antps
Over 600 amps or 1000 volts see
'IB" above
S50,OO
S69.00
$100,00
D, Branch Circuits
New Alte.nltion or E:.\.'1ension Per Pallel
Ouc Circuit
$43,00
Each Additional Circuit or with Servi'tj tJO
or Feedcr Permit S 3,00 /2,
10, Miscellaneous (Se".;,'c/fe..!cr not incbuledl
-Each installation
Purup or irrigation
Sign/Outline Lightiug
Lituiled EncrgyfRes
Limited En.rgy/C~mm
$50,00
$50,00
S~5,OO
545,00
Mioimum Electric Pcrmit Inspection Fee is $45.00 + Surchargeo
75,00
"J,~
10,00
gfO,~S
5, SUBTOTAL OF ABOVE
7% State Surcharge
8~~ Administrath"e Fcc'
'10'1 Z.
TOTAL