HomeMy WebLinkAboutPermit Electrical 2001-6-5
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V 225 FIFTII STREET tted\,\esl\,\\end use ELE"""'~CA'" P"'"'UIT AP' PLICATi~NS#:01-0005708 ~
,<soo"" ec'('c. vUU .. """" ltHTE' JUN"07 "001 '
SPRINGFIELD, OREGON 9711,1.1>9 ?ro\.~;"feqU"e S? , ~.. r.l"rn.",,:\ $ 15950 ,,;
INSPECTION REQUESTt~~'~6\14~ t.J\')o't-: City Job Number O(-OO':::;t::s~~ CHANGE:
OFFICE: 726-3759 <0'. --;C~"()1 C HIER 0'1
a?? 20n\n9 (p~~TE FEE SCHEDULE BELOV AS: .1 '.
1. LOCATION OF INSTALLA~' ___-
337() F0J2. c.tJl~ 7JA. ..,onaIO<. A. New Residential-Single or ;
p.u,nor,.. Hulti-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
('~Z- ) 93'-( 05"70-0 Items Cost Sum
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
oA (?/J. . Installation, Alterations or
Electrical contractor_~/~ ~~vL~Relocation: '
Address \yO lbo)<, 110 90
City AIQJV1l/ PhoneS{/-Cf'b7JI5027
Supervisor Licens~ Number ~5? ~
Expiration Date / D' -I-{} (
Constr Contr. Number ;WCf0 R
9-IS.Of
JO~ DESCRIPTION
(Y'Vl m hCHJ..d...-P
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
Signature of Supervising Electrician
X-~, c.~
Owners Nallie K-\ .Jc-IL V tl-Ile--, (jldr\
Address Lf/g'jZ II el(~ br " 1'\&
City Sw~f- UM,rPhone :67- 1ft%' '1
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------------
~T~~---
'''flU'
DATE:,_ _060 s-o I
A'\..C.\.onJ.l'J. f:
RECEIVED BY: ^' /P
~~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Owelling
Service or Feeder
200 amps 9r less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
-L
L;
$ 85.00 8s.00
$ 15.00&O.ci)
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
'$ 80.00
volts see "B"
above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
$
2.00
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00.,..,
$ 20.00 ~ -;
$ 36,00 ,;o:D 55
f., ''-
- A SnlO)
5. SUBTOTAL OF ABOVE 1Y!Jr;P ~~~
7'% State Surcharge, / tJ'{1-c, ..:z f-j'
TOTAL 3~ C{~, FJ..P. ~a28
'[cYJ-clJ!. 15~~~
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