HomeMy WebLinkAboutPermit Electrical 2001-7-28
The t~lIowing project as submitted has the tollowi
zoning, and does not require specific land use
approval.
Zoning r e.-
Date 1/1."i -0 I
97477 " M
726_~~,zed Signature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION,
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LEGAL DESCRIPTION
17 IJ ~ 7_S L/J
RU'r.-rRICAL PERMIT APPLICATION
"~L)' Job Number 0 I -tro lie: - 0 /
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling uni t.
Service Included:
o IJrrO
JOB DESCRIPTION ,
~n &sn'AJ& /.1MT'1HL .J~h.) t:.K j),~
I ,
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended'for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor J..Jj,J. ~ rE.&tUf,
Address .rl'303 tOLvMPJC- J:II-.
Ci ty ~1~_6r"fL6 Phone(54() 7)-1,- <lB'11
~/03S
/D/O( /01
,
tot./6(P 7
311~/DL/
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising
tJa-I il
Electrician
Ovners Name
7.e)&'rtU>
:z 3::> '3 D&>>r~""'j '..9-
Ci ty, ~ Phone
OVNER INSTALLATION
Address
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
G~0:~~Sij8SigTIature:
: 39Nl;JH8
Ol. 'izi:l or. 7:n'l'l).l II,IJ:l
i~~~~f~~;i~:--------------------------
RECEIVED BY:
1000 ,sq. ft. or less
Each additional 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
S 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
D. 'Branch -Circuits
$ 40.00
$ 55.00
$ 80.00
volts see nB" above
.-
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or ,Feeder Permit ~
$ 35.00 35-
/
,
$ 2.00 6.,
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
~r. State Surcharge
3% Administrative-Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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