HomeMy WebLinkAboutPermit Electrical 2001-12-17 (2)
The l.ng project as submitted hes the following
. 'd d s not require specific land use
225 FIFTH STREET ZOning, an oe
SPRINGFIELD, OREGffi&'~7~7L, \..,(f\'l
INSPECTION REQUEST: 726-j'fg~ ~ . \ '1 . 0 I
OFFICE: 726-3759 Dale - O~
Authorized Signature ~ CQHPbETE FEE SCHEDULE BELOW
\. LOCATION..oF INSTALLATION. ..d.
CiS] ( 17,4-", lc../;~ 15(.d. ID3
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
I ' '/ I. Installation, Alterations or
Electrical Contractor I ,;) 5 [1Cl'ffi(' // 'ft?::- . Relocation:
Address P () 60;"( ) Y f)
City yr i:)iv kL Phone 7 Lj J" --:;r;J3(:,
Supervisor dense Number 1 /7'6 J 5
)0-01-01
.,'
LEGAL DESCRIPTION
170 )'3'fL(t(
0030r
JO~;f~~'no~oo J.k,p Sb€-vl'-E
,
Permits are non-transferable and expire
if work is not started within 180 days
ofissuance or if work is suspended for
180 days.
Expiration Dale
Constr Contr, Number dO - / I.j C
Expiration Date
la-OJ - ()/
ature of Supervising Electrician
2vJ
;j wnersName .c;hA-VVl roc.l lfdu.;r-r
Address '-IF!>I rrA-~ ILl,:" [Ski
City e-I.-Lc, b'V<':"'" Phone -"7 2b- 330Z
OWNER 1NST ALLA TION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
6m:~mHS~::J
: 39N\JH::J
g~'6L $ 6:a::J3~ lW~
l006 6l d3S:31~a
O~L9000-l0:#SN~~1
ELECWAL PERMIT APPLICA nON
City Job Number 0101018 - 0 (
A, New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq. ft. or less .
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00 .
$ 19.00
$ 50.00
200 amps or less
201 amps to 400 amps
40 I amps to 600 amps
60 I amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
.--l$63.00 63
$ 75.00
$125.00
$163.00
$375.00
$ 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
"B" above
$50.00
$69,00
$100.00
O. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
$43.00
Each Additional Circuit or with Service
or Feeder Permit
$ 3.00
E. Miscellaneous (Servicelfeeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lightinll
Limited Energy/Res
Limited Energy/Comm
5, SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
$50.00
$50.00
$25.00
$45.00
t)
'-I 'If
>-O'{
~
TOTAL