HomeMy WebLinkAboutPermit Electrical 2001-1-16
The following project as SUbmi~epde~~~ t~:n~I~~~ing
zOning, and does not reqUire
approval L--\.>.vz..
225 FIFTH STREET Zoning
SPRINGFIELD, OREGON 97477 ,_ 1[,' D '\
INSPECTION REQUEST.~at(ll.b-j/69 -=Kv.J
OFFICE: 726-3759. AUU'Ofl2eo Signature
1.
LOCATION OF INSTALLAT,IOl'f
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance o~ if work is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLYB.
Electrical Contractor ~~ ~
Address /t?r2- ~,~ D_ ;
City ~
?
Supervisor License Number
..
,
Phone 7.;7. P - /~oo
9''1.5'-.5
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Constr Cont~. Number b 3.1'$7 15G~,
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Signature of Supervisin~ Electrician
,-',;'~--~ -
9wners Name ~:-l"",-\~
Expiration Date
Expiration Date
Address !L/q,s ~'t-,
Ci ty ~P'W\.Jd Phone ?-I.("f- qq<{O
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease'or rent.
Owners Signature:
DATE:
RECEr'PT II:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
City Job Number OO~OrglL.\-OI
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
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over ~01 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per'dwelling uni t.
Service Included:
Items Cost Su
1000 sq.ft. or less. $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular. 'Dwelling -A Z!Z
Service or Feeder $ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$' 2.00
no t includec
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limi ted Energy/Res .
Limited Energy/Comm
E.
5. ~BTOTAL OF ABOVE
7 . State Surcharge
Yo Administrative Fee
TOTAL
$
$
$
$
>/0
40.00
40.00
20.00
36.00
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