HomeMy WebLinkAboutPermit Electrical 2001-5-18
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SPRINGFIELD
The tollowing project 85 submitted has the tollowin
loning, and does not require specific land use
approval,
Zoning
225 FIFTH STREET ate 6- I 'g" - 0 I
SFRINGFIELD, OREGON 97479 ct1.J
INSPECTION REQUEST: 726!lg'Il'9'ed Signature
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
3(00/ o/""..""z #1,,0. <i7l,17$
, ;.
~AL DESCRIPTION
170Z "30C/ ~
-20B p~SCRIPT.JQN d
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00(01
Permits are non-transferable and expire
if vork is not started vi thin 180 days,
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~ ~.
Address'fl) ~ tVb2- . ~V
citGmiYl ~ . PhoneCfl~ -~tP1-
Supervisor License Number ~~~
Ib-'OJ-OI
Constr Contr. Number flPJ-Iq:;'h~
Expira tion :a:~-z!I)~ tJ J - t13
Signature ~y~Si~ian..--,.
Ovners Nam~-A-L '~,o.,vS;:fOlL 1:'.. D.
Address 'SborC>fr.;...,,"c.. .
City ;5 PFLJ Phone 72b-bZ{;,b
Expiration Date
OVNER INSTALLATION
The installation is being made on
property I 'aloin which is not intended
for sale, lease or rent.,
Ovners Signature:
DATE: 0 S ( Bo/
RECEIPT I:
RECEIVED BY: ';)'f
5'-(>7
-d-/.,'
ELECTRICAL PERKIT APPLICATION
::~. Job Number 0 (- DO ')0 ')-0 (
3. COHPLETE FEE SCHEDULE BELOV
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A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each'Hanuf'd Home, or
Hodular'Dwelling
Service or Feeder $ 40.00
,B.
Services'or Feeders
Installation, Alterations
cr Relocation:
50
200 amps or less ~ $ 50.00,'
201 amps to 400 amps $ 60.00
401 amps to, 600 amps $100.00
601, amps to 1000 amps $1~0.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary ServIces or Feeders
Installation, Alteration or Relocation
200 amps' 'aT less
201 amps to 400 amps
. '''' "00 Ov,er ..401..to..600 ,amps
Over 600 amps or 1000 volts
Branch Circuits
$ 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 Per~it
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
~et'State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00
not included)
:D
$ 40.00~~:;;:l
$ 40.00;:0 ~ df.
$ 20.00 F.i '.'.'!i'i' .'
$ 3~00,:?~;..:,
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