HomeMy WebLinkAboutPermit Electrical 2001-9-24
The fOliO.' reject as submitted h.8.S the toll owing
zoning. a as not require specIfic land use
225 FIFTH STREF:f approval. ~
SPRINGFIELD OREGON 974ifmng q hll (
INSP&-Hvl'REoUES1lten~ 37(9 ~ O?f!:- I w"fijOONmnbef (1) /- 00 773,0 I
OmCE: 726-3759 Authorized Signature .J.K~ i
. 3. COMPLETE FEE SCHEDULE BELOW *'
.1. LOCATION OF ~TAL'!,.ATION..- rU ~.
I;::) (/1 -<, fY1 r1 . r\ ~t. .:...\.l,- 0 -/ A New n...."-'Jial..single or .
- . MuIti.-Family per dwelling unit.
Scrvil:e L:..dt...::
.
ElECTRICAL PERMIT APPLICATION
LEGAL DESCRIPTION
17033-S-'i(
015700
Items Cast: Smn
JQB DESCRIPTION
.::::0 ..\1 ; C1 \(Cr,A-r-\D c'),.- \ (llb.-
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Mannfd Home Dr
Modular Dwelling
Service or Feeder
SI06.oo
Pemrits are non-transfcrable and expire
ifwDIk is not started within 180 days
of is=.n"" or if work is suspended for
180 days.
2. CONTRACfORINSTALLATIONONLY
S 19.00
--
-L $ 50.0050
Electrical Contractor A 0{ Q_ <1 t (J Arl ,-.
Andress l~ 01\'\ dJ (6n (Jl.
City$!2R-Q PhOne 'l~ -{flI'}(J (
Supervisor License Nmnber. ?ch2~
)&! () I
v
Constr Contr. Number ~ c.; (0 f) L
lo/tJ'd--
B. s...,:""" or Feeders
Installation, A1temIians or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps .
Over 1000 ~
R~-.....; Only
-
XS 63.00 €0:5 -
S 75.00
$125.00
$163.00
$375.00
S 50.00
Expiration Date
C. T ........~~J Services or Feeders
Tn"",nRlinu. A1ter.d:ian or Relocation
Expiration Date
. .>
c::::r- ~ './
" ..:>
------..
200 amps or less
201 amps to 400 amps
Over 40110 600 amps
Over 600 amps or 1000 volts see
"B" above
'_ S50.00 _
S69.OO
Sloo.oo
Signature of Supervising Electrician
Owners Name S I' Ft')
"LtI&/(~
(,dQ(C-
D. . Branch ciic:oits
New A1ter.d:ian or 1<........,;00 Per Panel
Andress
One Circuit $43.00
Citv Phone
OWNERINSfALLATION
Each p.itmtinnol Circuit or with Service
or Feeder Permit
S3.00
The in.<:flInRlinn is being made on
1'.u.......J I own which is not mtP.nitP.iI
for sale, Jease or rent
E. Misce1IaDeoos (SetviceIfcedcr not inclndcd)
-Each jnd~nMion
Pump or iTrigl'rino.
SignfOulline T -igl1til1&
Limited EncrgyJRes&T ;mnM Energy. w......
$50.00
$50.00
$25.00
$45.00
Owners Signature:
190:~3IHS\J'l
: 39N\JH:J
Og'Lg $ G:O:J3~ lW\J
1006 W d3S:31\JO
8~99000-10:#SN\J~1
M',,:.. .,,, Electric Permit Inspection Fee is $45.00 + Surcharges
5. SUBTOTALOFABOVE
7% State Surcharge
8% Admini.,;''';;''w Fee
PAY TO THE ORDER OF
SPRINGFIELD BRANCH
US NATIONAL BANK OF OREGON
FOR DEPOSIT ONLY 1 536 0145 2508
CITY OF SPRINGFIELD
DEVELOPMENT SERVICES DEPARTMENT
SEP 07 2001/57.50/01-0006638