HomeMy WebLinkAboutPermit Electrical 2001-1-9
The, following projecf as submitted has the following
zOOlng, and does not require specific land use
approval.
Zoning ( br2.-
.~~5 FIFTH STREET Date /-'l-C> I
LL 1/ _ _ \ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGO~ul!ll1li,zPi! Signature i'r't^-'
INSPECTION REQUEST: 726-3769 Ci ty Job Number 0<:> - 0 f <-{ 8'S'. 0 (
OFFICE: ,726-3759-"-;-",-::--nc",-".----; -.,.-. --:--- ".--------. .-~-- - -.-...
&,,,,,,,,:_:,,.:...,c,~,,...,,,.c:._,~',,:,,,_,,,..:,;',~".,'c.,':',(._3. ",COMPLETE FEE'SCHEDuLE BELOY '- ^ -,', " .
1. LOCAT,ION OF INSTALLATION.. 'f-:l. ,',,', ',' :~ ,; ','.. ,.'
loa. \ riO..k.:' ~Q^-.r~<.;:'~ --r:\n. r~--:' A. --Nev-Re-sid-entiat-'Singl'e-or- -,-~--'~"
Multi-Family per dvelling unit.
Service Included:
LEGAL DESCRIPTION
110331../2.-2
os'{OO
JOB DESCRIPTION
L..l)\.......... "" a 1'10+ q-o-...~. I :r'W" 0
, \
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
'Electrical contractorQl? Fl,.,.tn. ~I~
Address \)0 (1,..", ~ 'l.""\
City~CJU. ~hone..a4-3-1~
, "perviSO~ License Number ~.t::L.....""i
Expiration Date 10 - 0 1 - 01
Constr Contr. Number, .=lox-co /
'Expiration Date q - 14 - c4
Si~~;~~s17~ctrician
Ovners NameJp .. .....,P_ f'v\"J.!.. ~
Address /OZ. \ O~~<MeMQ."'~,~
Ci ty s.\:)p:D Phon~~ ~
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
-------------
Ot 0 ~o I
l-t!,-o "r
}..R
DATE:
RECEIPT II:
RECEIVED BY:
1000 sq.ft. or less
, Each add i t i onal 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dvelling
'Service or Feeder
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
Items
Cost
Sum
$ 85.00
$ 15.00
_ $ 40.00
$ 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 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
'see nBIl above
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
-L
$ 35.00 ;:\.C:::;.,.:;;)
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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