HomeMy WebLinkAboutPermit Electrical 2001-7-27
The following project as submitted has the following
zoning, and does not require specific land use
approval,
Zoning
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225 FIFTH STREET
SPRINGFIELD, OREGON ~7e't 7?
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 Authorized SIgnature
GOt<.
7/1..1/DI
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3. COMPLETE FEE SCHEDULE BELO\1
1. LOCATION OF ;r~STALLAT;rON
. ZSl.jg H- 'S.T
- ELECTRICAL PERMIT APPLICATION
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Ci ty Job Number Oi -00 71 7~O J
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
J70s 3,hl \ DZ.sOQ
r ~?B DESPRIPT+ONr / I .-l t-
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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..
Expiration Date
Constr Contr. Number
Expiration Date
. Si~ature of
J)Aa-
owkrs Name
S~rvising Electrician
(jC~ . . L.
.,
1/VV\... >~A-Jt:::::
Address ~o1?oJ'C
Ci ty J1IAr Co ta
7/5
Phone 9 7'1' Fy'
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
'-,
----------------T---r------------------
DATE: 07 ( b 6.. _/7
RECEIPT #: 0.1) ~
RECEIVED BY: D e
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder .$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
j,' ~
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
\~.
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
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
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
2. CONTRACTOR INSTALLATION ONLY .B.
'. Electrical Contractor(l............;:)-S ;;/ed/c-~,::!;c:/,
Address PO. eo X J Lj~d .
Ci ty 5iJr;c, Phone '1 VI - ))3~
supervi.s~r License Number / G g) 5
10-) -01
J{)/Y~
J()-J-CJJ
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
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$ 2.00
not included)
$ 40.00
$ 40.00 .
$ 20. af) 0 ;::d
$ 36.06:C,~
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