Loading...
HomeMy WebLinkAboutPermit Electrical 2001-8-24 (2) . The, fC?lIowing project as submitted has the following ~ _ zonl. does not require ~pecific land use I appr 225 FIFTH STREET Z' L I;> r2.. ELE ML PERMIT APPLICATION SPRINGFIELD, OREGON 97477onlO9 '1;7/1....1'" INSPECTIONREQUES~l~26-9'T6; D .=:.D :i~'JaeNumber r>1-OOQ'7 '7 -Of OFFICE: 726-3759 Authorized Signature "'l:'ItLl1Jl\~ 3. ~OMPLETE FEE SCHEDULE BELOW 1. LOCATION OF INSTALLATION ,2 :oc,' &:j Jp p" "1-' <t ? LEGAL DESCRIPTION /7D323<.(L-( OOtz.,z.. A New Residential-Single or Multi-Family per dwelling unit Service Included: Items Cost Sum JOB DESCRIPTION d c;;: e. -.[ c. Co-h4:Nf..~ r ? r~ rc.A~.f-:s Permits are non-transferable and expire if work is not started within 180 days . of issuance or if work is suspended for 180 days. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder S 50.00 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ai,,,,,,, Ve"il ( b/t'cAI'c... Address 4'7 I I) F7))( A4,{looAJ t ,L City . E:/~ -r' Phone ~~ Supervisor License Number .. i 5' 7 X- <). Expiration Date } 0 - 2-0 ~ 0 I Constr Contr. Number q 3"!:5 3 Expiration Date 10-.).;;-D2- Signature of Supervising Electrician J<<L. 1/~~ . , 1 . Owners Name ,&, ';1 a..J fl. ,...1. Address ~55b vv..... q So Citv Phone OWNER INSTALLATION The installation is being made on ,,,vl'v.~)'1 own which is not intended for sale, lease or rent Owners Signature: 190:~3IHS\1J : 39N\iH8 g~'6L $ G:Q83~ 1W\i 100G OG 9n\i: 31 \iQ 8Lt9000-10:#8N~~1 S106.00 S 19.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 40 I amps to 600 amps 60 I amps to 1000 amps Over 1000 ampslvolts Reconnect Only LS63.00~ S 75.00 S125.00 S163.00 S375.00 $ 50.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 40 I to 600 amps Over 600 amps or 1000 volts see ."B1! above S50.00 S69.00 S100.00 D. Branch Circuits New Alteration or Extension Per Panel One Circuit $43.00 Each Additional Circuit or with Service or Feeder Permit 'Z-- $ 3.00 b E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited EnergylRes Limited Energy/Comm $50.00 $50.00 $25.00 $45.00 D Minimum Electric Permit Inspection Fee is $45.00 + Su ~ 5. SUBTOTALOF ABOVE ~~ ~ 7% State Surcharge :'J:? --:::.. G q 8% Administrative Fee ;i=, ~ ._ , _ .~ rr1 ::c 0 0 ?;D--J ff TOTAL .-.~_~ 0"'- ~ITl L.J '0 -J 1-.1.-. l.T1~CO