HomeMy WebLinkAboutPermit Electrical 2001-3-9
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225 FIFTH STREET ~'lIWWingprolect.SSUb~llIedhasthefOIlOWlngELECTRICAL .u...... UPLICATION .
SP1lINGFIELD, OREGON it:fl and does not require specific land usa . /
INSPECTION REQUEST: a ~769 1-7'./1 : City Job NWllber F>1_tltJt)~?-J)/
Ol'l'ICE: 726-3759 ,"-./)1'- ~ ~,
ZOning 3 --' 4 .01 :;:-- COIlPLETE PEE SCllEDULE llELOV
1. LOCATION 01' INSTAlt.l^.a.:nON ,
$"''1'9'r '"Ail NS;;r;ro..a!!oZS::o ofl(J."A N..... Il..~idential-Single or
Multi-Family per dvelling unit.
Se'rvice Included:
Items Cost
1?..JI/7 . .
I
JOB OESCRIPTION i 1000 sq. ft. or less
,:;r",S7.a,..' ~C ,_...;...: ,4~"""..r Each additional 500
I sq. ft or portion
Permits are non-transferable and expire thereof
if york is not started within 1aO days Each Kanuf'd Bome.or
o.f,:.issuance or i'f york is susper' ded for Modular 'Dwelling .
180 days. , . , . SerVice or Feeder
CllloJl '" !' .
.' ~ ' . ~,I . " ~
'2.)I-\;CON'l'RAcroa'IINSTALLATION ,ONLY. . .B. Servjces or Feeders
JlJ81' 'f) ".", ,^,h" .:" "0"". ''''''''/:'( Insta:1liit'i'On;. Alterations
E:Lec,tJSicalJ:ontractor y 'CL;:'\~~\d~ ~\.e(h\ ~r R~+pcatJol1':rS
nil " . '- J' ''''i''. ,~......"',.,I HAl~ EX~'F:~J:-=THFWO'1"
,110.. -....' -.... 'If'~' ^""J(;;- .. "\
Address 00-.\\ t:...... I " ~ ,,_.,'pr 200 ampS or'aeSS!j':~l::.... ':,,-,, i~$,5o,~0() .
201'~ps,.to,I,400 ~I1S . .,'$60~00)'
401 amps; t~. '~po(amps .., '....""\$100:0<1
601 alDpsl~io J'lOOO~'aliijls $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
LEGAL DESCRImON
/702- ,~.? 42-
Cit~X'\O _ Phone~t J'd-C1:1
Supervisor License Number ~<=)~"
Expiration Date. \D \c~\ \ C;) ,J
Constr Contr. Number \\~c....,:~
Expiration Date
"&-\ O~\ 0 \
Signature of Supervising Electrician
~?dd2/7-~
Ovners ~ AJIIt9~; 1..((.J'Z.}j jA/q,
Address 6'~ 'J S'" A ~ r; .
City-#?~ Phone~:--/'}H
OVNER INSTALLATION
The installation is being made dn
property I ovn which is not intended
for sale, lease or rent.
Ovners Signature:
-------~,,------
DATE:U...;) - () q -:- D/
"""t....PT .f: <4'161-.., rr .
RECEIVED 'BY: U, IJ I YI ( jI._~
8
I 1
AMT'RECD:2 $ 38.50
CHANGE:
CASHIER: 062
Sum
$ 85.00
,$ 15.00
$ 40.00
C. Temporary Services or Feeders
Installation; Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 VOlts see "S" above
O.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circui t /
Each Additional f
Circuit or with Service
or Feeder Permit
$ 35. 00 J ,J:"ePt:>
$ 2.00
E.
Miscellaneous (Service/feeder not included)
-Each installation
Pump or'irrigation
Sign/Outline Lighting
Limited EnergylRes
Limited Energy/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36.00
-
-
5. SUBTOTAL OF ABOVE "7 S":'tP t:'
5% State Surcharge
3% Administrative Fee
TOTAL , "'( Yo ~c:::>