HomeMy WebLinkAboutPermit Electrical 2001-12-20
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The. fOllowing project as submitted has the tOllowing
zOOlng. and does not require specific land use
approvaL '
Zoning LDI2
2.2.5 FIITH STREET Datel:l ( :.)0 ( 01 ' ,ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 'J.:?'b,l~ze.o ~gnalure 'D\( 0 D1W
INSPECTION REQUEST,: 72.6-3769 -- ,-' J Ci ty Job Number Of - 0 I 0 '-( S ,C) (
OFFICE: 726-3759.
1. LOCATION OF INSTALLATION
ItJ b'-{ OA-tvV\e-A.dO""s,
, A.
LEGAL DESCRIPTION
'703.3 Lf 2.. Z
DObie)
JOB DESCRIPTION
J4I! H fA I flr
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 Contractor ?.k,,-I-'J ~
Address /t? ~Z- ~ ,j; n_
City f!~ Phone 7,:l9-/~oO
;
Supervisor License Number <115-5
Expiration Date /l/ o{
Constr Contr. Number b ?"/'3>7 /St;~.
ulJ(./o <f
I I .
Signature of Supervisin~ Electrician
'.'.;':~,~
ovners-'Nam~ -!-fLc-d I-ki~/~ - D.
'"Address ~t../z...t-, 7:'0<> 'C.. o/,~__ 0t2....
City t:;:u.&E.iV~ Phone '-If'f- ,/{)7L
Expiration Date
OlINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease'or rent.
Ovners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
3. COMPLETE FEE SCHEDULE BELO\1
Nev Residential-Single or
Multi-Family per'dvelling unit.
Service Included:
Items Cost
1000 sQ. ft. or less,
Each additional 500
SQ. ft or portion
thereof
Each Manuf'd Home, or
Modular. 'Dwelling "
Service or Feeder L-
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
Su
$ 85.00
$ 15.00
50 D
$ }<5.00 ~
$ 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 ~01 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
.'
One Circuit
Each Additional
Circuit or vith service,
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SYBTOTAL OF ABOVE
7~ State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
:5 "
$/00 '2-
no t inc1udec
$
$
$
$
/03>
40,00
40.00
2.0.00
36.00
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