HomeMy WebLinkAboutPermit Electrical 2001-12-17
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. r.loWing project as submittad has the following ..
225 FIFTH STREET; zoning,and does'not;require'specifi9Iand use ELE~CAL PERMIT APPLICATION
SPRINGFIELD,OREGON'9'1lf'1l;t. .~ ' .DIe., . .' '
INSPECTION REQUEST: 726,3Zblling' tYl.., ':''':- L,I, Number Of-Of 7 3. ~ -0 I
OFFICE: 726-3759 Date' . \:;l .: Ili .0 \:. .
_ '. I, Ir\V ,01.. i, Aye1MPLETE FEE SCHEDULE BELOW
1. LOCATION OF INs't';ft~~ ~ature!'[1 · .
~ "Picw"lJ ~' ,- - - . . New Residential-Single or' ..
Multi-Famil)' per dwelling unit.
Service Included:
LEGAL DESCRIPTION
)1'03. 3S""3 z..
03100
Items Cost Sum
1000 sq. ft. or less - $106.00
Each additional 500
sq. ft or portion
thereof $ 19.00
Each ManuI'd Home or ,
,
Modular Dwelling
Service or Feeder $ 50.00
'.,
JOB DESCRIPTION . .
IAtL '-)ow,.; Li~hk. (3Y ~l'~~ ,....fJopE)
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
,
2. CONTRACTOR INST ALLA TION ONLY
Electrical'Contracto~~'
Address ~(OJ5'1 1fem-->> ~I~ // '\.
Cit)" c.nClJ: Phone /
~ \ ./
Supervisor Licens,e Number tll? IS
I ,j
Expiration Date
.r
B. Sc).viccs or Feeders
Installation, Alterations or
Relocation:
!
....
I
200 amps or less
20 I amps to 400 amps
40 I amps to..600 amps
,
60 I amps to 1000 amps
Over loqo amps/volls
Reconnect Only
$ 63.00'
$ 75.00
$125.00
$163_00
$375.00
$ 50.00
---'Constr Contr. Number
Il) -()/-<Jt1
?O-<-Il.\~
C. Temporal")' Scn'ices or Feeders
Installation, Alterntion or Relocation
"~.Expiration Date ....."10 ~Ol. -0 ~
""--.'
Signatll'rc of ~uJlcn'ising Electrician
~LOlwt)"f)~
Qwners Name fllf:iJc...o :r.dl::S+M~
E. ?>roAd~A, SfJ
I
Phone b'63 - ')001
-,..----~
200 amps or less
201 amps to 400 amps
"--Ov~ 401 to 600 amps
Over 000 amps or 1000 volts see.
"B" above .~--
/\
I .
, ,
Branch Circuits ,
New Alteration or Extension Per Panel
,,1/ \ '
, .
On~;Circuit
$50.00
$69.00
$100.00
Address uLl 0
. \ to
, --I- $43.00 ~
Cil)'
CIA &-
Each Additional Circuit or with Service
or Feeder Permit $ 3_00
OWNER INSTALLATION
The installation is being made on
propert)' I o\vn which is not intended
for sale, lease or rent.
Owners Signature:
E. Mis.ccllaneous (Service/feeder not included)
-Each installation
) Pump 'orirngation . $50.00
Sign/Outline Lighting $50.00
Limited Energy/Res $25.00
. Limited Energy/Comm _ $45.00_
Minim~m Electric p~rmillnSJlection Fcc ~ + Sl,II'c1;",'ges
. I
4. SUBTOTAL OF ABOVE
7% State Surcharge.
8% Administrative Fcc
T'iO' :G1H~:J~~
: ~C]N\:iS~)
SL'tS $.l:G:J3~ lW~
1002 flO MN: 31\10
60Gl.OOO~10;#SN~~1
TOTAL
5/~
7207