HomeMy WebLinkAboutPermit Electrical 2001-10-24
)'
/.
".",,~, '.' '~.. '-"r~r, I i" ';. ., .. 'f' T'
u7f.lil. ~ 'OIluJ'
DEVELOPMENTSERwrJ~nFPARTMENT
'1'T1~ mrrulFllng pro]'ACf as submitted has the following 225 FIFTH STREET
zoning, anddoes not require specific land use SPRINGFIELD, OR 97477
approval , (541) 726-3753
225 FIFTD STREET Zon;n, l./D42- ELl!CTRICAL PERIIIT APPLICA1!!llN'541i 726-3689
SPRINGFIELD, OREGON rfi.t47:J- to ['2-4li! I 1-
INSPECTION REQUEST. A6~8,TJ3l!!?,na,",' D~ City Job NUlIlber tY I:::::INJJ-n-&/
OFFICE: 726-3759 .
3 . COMPLETE FEE SvlUWULE BELOV
I
1. LOCATION OF INSTALLATIOfj
X "3 j --uJ F.- -+:;.~
./ - ~(
LEGAL DESCRIPTION
J'7"" I r? 'f .fUG{j/JJ ~ 2:~U
JOB D,ES~PTION
.q ~K
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor 1fJ//ls E/ee-ft"IG
'..;:;Address 3! tOW. / I tf6
..~ City Pdll/!/Yl(J-4 DR. phone3tf/-J'l/J0,
~
Supervisor License Number 9 tfO S
Expiration Date /().. I - d .I){) /
Constr Contr. Number o</~5'/
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less I $ 85.00 2? S,-Q6
Each additional 500
sq. ft or portion '?:, lf~,l)r3
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
, 201 amps to 400 amps
1o~7-if?~/ 401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 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 -1- $ 40.00 IfO.aO
201 amps to 400 amps . $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000. volts see "B" above
Branch Circuits
Expiration Date Y -:2R-Od-- .
~~r:1!J;zr~
. Owners Name:l /{l/'A l4}t.pr 1 ~ D.
. . Address. D. ~ r 80 2--3 '(
Ci ty g(J pt-OPhone.1Y7 - 870'f
oYNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners signature: .
-----------------------~---------------
DATE:
RECEIPT i:
,RECEIVED BY:
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
7% State Sur~harge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
l70rdIJ
, tJAo
~,n
f ri :ed