HomeMy WebLinkAboutPermit Electrical 2001-1-8
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. bitted has the folloWing
The following project as su ,~ specific land use
zoning, and does not requl , .
approval, j...7J1Z-
. Zoning
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Dilte -
974ilJmonzed Signature .-
726-3769
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTIO~
)702..\9'-1'3. C)g300
.' A.
, JOB DESCRIPTION /
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Permits are non-transferable and expire
if vork is not started vithin180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Elec trical Con tractoQ, V"rt5.; tL L J.I tit O(l~
Address ,PO. B7Jx 4054K :
Ci ty te {1 f e IlJ Phone 5'1 /-l/ ,){'/- 90-1 '6
Supervisor License Number .1331 JLF
Expiration Date
/57 Dl
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contra Number IVtf u.o5
Expiration Date &( dt./
Signat pe ~~~g Electrician
_.~ () I/~ --.
Ovners Name AOt~kl/)( 1- Dl..lb/Y !!on87. D.
Addre~s fJ.tO. Ahx 7/095
Ci ty & u ~ t/lJ.-. Phone5<V/- +'1'?- -n? 3D
OVNER INSTALLATION
The installation is being made on
property Iovn vhi~h is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: OIOgO(
RECEIPT tt: I.j / 9 S-
RECEIVED BY: !) t!
ELECTRICAL PERMIT APPLICATION
City Job Number 00 - (:) 13S3:'-O/
3. COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Sum
. Items Cost
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
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch 'Circui ts
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$80.00
volts see ~B" above
,.
Nev, Alteration or Extension Per Panel
$ 35.00
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.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 2.00
not included)
v
$ 40.0~ _~
$ 40. 06-1 '=' :::0
$20.0~~. aD
$ ~.~~.,~
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