HomeMy WebLinkAboutPermit Electrical 2001-1-5 (2)
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The. following project as submitted has the tollowing
zonmg, and does not require specific land use
approval. . .
225 FIFTH STREET Zoning [I....{ I'
SPRINGFIELD, ORBlllON..9J..!il..7 l-oS--OI
INSPECTION REQ~:J;,: . 726-3769 .v. /
OFFICE: 726-375!1' onzeaSignature AW
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
ELECTRICAL PERKIT APPLICATION
City Job Number 0 1- O~17 - 0 I
1.
~TION OF INSTALLATION
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LEGAL DESCRIPTION 0 ~ c)
n033LfL/ / 01 900
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days'
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical
Co,,!~W'(5~ E:"E::TnIC. INC.
P.O. BOX 23154
::.JGI:1...~, vn II',!!,!#'
. Phone ;'1'1- '1'1#
Address
City
Supervisor Li cense Number ?~93 - .s
Expiration Date /t1-tJl-t?(
Constr Contro Number ~;ftf7
.
Expiration Date ~~/~-t?;Z
S1...'.". .f~~'"1<1"
Owners Na./,,$~~(^Jc.. Corp
Address LIzzI.( ~~(,........ 7\/" J
City sf r:f:::, Phone 7-(7 - ~ I..( b 7
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RP.r.RTh #:
.+'; 5<Ad) ~
0(05"""0 f
~1/8'3
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3. COMPLETE FEE s...""""..B BELOV
A. New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Cost Sum
$ 85.00
$ 15.00
$ 40.00
....D
Items
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
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
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
E.
One Circuit $ 35.00
Each Additional
Circui t or wi th Service.
or Feeder. !,ermi t --L. $ 2.00 / J ,tIIf?
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
$ 40.00",
$ 40.0~~::;::!
$ 20.0g" ~ ~
$ 36 .O~'" <;f,J
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0-- rrll'.J 0 00
I-'..OI--L(.,.J
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SUBTOTAL OF ABOVE
7% State Surchatge
3% Administrative Fee