HomeMy WebLinkAboutPermit Electrical 2001-9-24
The 101l.9 project as submitted has the tollowing
zoning,p does not require specific land use
225 FIFIH STREET approva '. LD rJ ELECI'RlCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ZOning . "\ 01
INSPECTIONREQUESTPI1a6-3+(~ q~ ~~J JtL-:~.....her n(. 06972 -01
OFFICE: 726-3759 Authorized Signature ~, .
3fJ COMPLETE FEE SCHEDULE BELOW
Address \~ -A-cJlo~ /..:FnQ.
City~P .n phOne 1St '\;:1(',,-0'10 l
SuperYisor License Number '3::;;t",=)<::)
E.....:''';';an Date /0/0 (
Constr Contr. 1 ;.....;,_ ;;(-) VG') C
:....:...;;an Date /6/ rJd
,
1. LOCATION OF INSI{\LLATION \ .~
.~<, m()'\.{\~. ~L\f')~
LEGAL DESQUPTION
l,o-S3 5;'f(
o nOD
JOB DESCRIPTION
<;0 ......f~r o. \l"rlllJ'm[)~o ~
Permits are non-transferable and expire
if work is not started within 180 days
of is....neP. or if work is so."P""~ffl for
180 days.
2. CONTRACTOR INSTALLATION ONLY
F.1P.dri",,1 Contractor0.r! e_ Ele.ci"II'~r
Si_~ of Supervising Electrician
~4~--5-
Owners Name-=::; ,PFu /Ut)/..fLe:
p~C-
Address
Citv Phone
OWNER INSTALLATION
The installation is being made on
r,~......~J I own which is not mt'"'~P1l
for sale, 1ease or rent
Owners Signature:
190 : ~mHSt':J
: 39N\!H:J
Og'Lg $ 6:a:J3~ lW\!
1006 LO d3S:31\!a
Lr99000-10:#SN\!~1
.
A New Residential-5ingle or
Mnlti-Family per dwelling unit
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwe1ling
Service or Feeder
B. Services or Feeders
Installalion, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
40 1 amps to 600 amps
601 amps to 1000 amps ,
Over 1000 ampsIvolts
Reconnect Only
C. TempoI3Iy Services or Feeders
1'l....n.tifl11, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 40 1 to 600 amps
Over 600 amps or 1000 volts see
"B" above
D. 'Branch Ciicuits
New Alteration or E'IfP.n<inn Per Panel
One 'Circuit
Each Additional Circuit or with Service
or Feeder Permit
E. Miscellaneous (Service/feeder not included)
-Each instATIArion
Pump or irrigation
S~Iighting
Limited EnergyIRcs
Limited Energy/Comm
Items Cost Snm
$106.00
$ 19.00
~
~ S 63.00~ ..,,')
$ 75.00
$125.00
$163.00
_ $375.00
$ 50.00
$50.00
$69.00
Sl00.oo
$43.00
S 3.00
S50.00
$50.00
$25.00
$45.00
M". .:"'.,.., Electric Permit Inspection Fee is $45.00 + Surcharges
5. SUBTOTALOFABOVE
7% Stale Surcharge
8% Adm.i.nL....~.... Fee
57J!!-