HomeMy WebLinkAboutPermit Electrical 2001-1-11
DEVELOPMENTSERWCES9~PfcffcTMENT
e 0 lowing project as submitted has the following
zoning, and does not require specific land use
approval.
Zoning t-bt2.
225 FIFTH STREET Date 1-' I -01
SPRINGFIELD, OREGON 97477' \
INSPECTION REQUEST: 7~~~~Y6~ Signature d:>( I.A...J
OFFICE: 726-3759
LOCATION OF INSTALLATION ~ f)
'3 S-b L 05;pre-7 P'L
LEGAL DESCRIPTION
1'70 z... I D;c../ 3. 0 gJ<:YO
JOB DESCRIPTION1 I
SFrL. Low Vo(-1---fr\E
/
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor EASTSIOC (l.EC,
Address .:)~ ~5 3 EoSC,4 6-t il'l}Jc
City SP<:;f-c...O Phone 71//-- (</9'1
.'- ,-. -- '.. -
.......
Supervisor License Number Y 7), 7 S
'Expiration Date )O~OI"O{
Constr Contr. Number } 17770
Expiration Date )O,O<{-O(
Signature of Supervising Electrician
D/~'~A ~ .
. I'-VY')
Owners Name '"'blA. \c.c-s, f.;)u k~
') /--
Address-yo \? 2> /" 7( 0 9- S
Ci ty LlA. C.J~71 ~ Phone 'i/7 - 31 s. D
I
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent:
. Owners Signature:
---------------------------------------
0/ (! 0 (
DATE:
RECEIPT #:
RECEIVED BY:
423g
))1/('
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
ELECTRICAL PERMIT APPLICATION
C'ity Job Number Od -0 I 35'] - 0 I
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included~
Items Cost Sum
1000 sq. ft. or less i $ 85.00 gS-
Each additional 500
sq. ft or portion :5 '-/)
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
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 $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
$ 40.00
$ 55.00
'$ 80.00
volts see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
I
$ 40.0fu>
$ 40.0~,-I
$ 20. 0O::u ~~
$ 36. ocfg rri CD
0.- +1-
C") ..~..
I 0>-'" 1'"",) :D 0
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-'- i:I':I- I
l-i C") I-'- 0
I'I....I.-i-' 1-',0
:::ll~0
I /;~ ...:r.;,,,,,, ~",)..j:::-..
4~1"'" f'lr-...J
0-, lTl 0 0 (,...J
f--J... Of--J.cn
5.
SUBTOTAL OF ABOVE
7l Stat~ Surcharge
3% Administrative Fee
TOTAL