HomeMy WebLinkAboutPermit Electrical 2001-11-16 (2)
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TAowlng prolect as submlMed has the followmg .
225 FIFTH STREET "'~~a~n~ does, n~; rhu~ ,~peClfic la.nd use ELE~CAL PERMIT APPLlCA nON
I SPRINGFIELD, OREGUN 97477.", ) W"'-' ,
'., ~~~~TI~~"~~UES~~tZ26'~6J1I~!91:,'- / ' Lt~y Jon Number 01-0 IIZb ~O I
. , .' " . 'Auinortzad Slgnat~re 1?\Ul^r \-:O~I FTF FEE SCHEDULE BELOW
l.LOCATIONOFINSTALLATION'.r :,' I, .... : '. '.
41) c::; 0 Pvt..timJldf~ ~vd. f~' '--, - l\. NewRe;identi;,I-Single Or'- - '.. . - - --
Multi-Family per dwclling unit.
1'2>0103/ I ServiccIncluded:
035'00
LEGAL DESCRIPTION
5'Ofrce. ~- I (
\
JOB DESCRIPTION
-:t.vs<kl( fet&'^ ~ mcl~',Ll ~
ltems Cost
Sum
,
Permits arc 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
$106.00
,. .
$ ]9.00
. .--v
-.l.- $ 50.00 ~
2. CONTRACTOR INSTALLATION ONLY B.
Electrical ~ontracto~(i~ f ~ &d>tk..
Address 'f;o~ic. l( "
,.... /' ';:.''-".
Cil)' lAMW.t/VI/.t Lt' Phone JLjI-f-cf70";
Scnriccs or Feeders
Installation. Alterations or
Relocation:
J"Signaturc of,Supen'ising Electrician
"i ...
,
200 amps or less
20] amps to 400 amps
401 amps to 600 amps
I '
"601 amps to 1000 amps
Over amps/vol!S
~$63.0~~
--.-i$ 75.00
$125.00
$163.00
,{'-",N..,"
~'Constr
. ~',;,Expiration
"'" ,
'tdf~GfrdJ
."'-own~rs Name Ctik ~r
- ;Address ..', i7~--6;' lf~h,-;, :trZ-
'City ',SU".iGcW6hone "1(7 -7b5'(
Over 600 amps or 1000 volts see
!tBB above --. ~';<i. ,
/\
D. Branch Circ~'its
Ne,viAlteration or Extension Per'Panel
. 'I \
l,i.. i
On'e Circuit
.,.. ....L.'...:.:.:.". '......'C.
'OWNER. INSTALLATION
"Theinstallati6n is bein)lmade on
property I o\vn which is not intended
. for sale, lease or rent. -
I '/ . ,-
Each Additional Circuit or with Service
or Feeder Permit
$ 3.00
':.
, ,
".
OlHlcrs ~ignature:
E. Miscellaneous (Serviee/feeder not included)
. '-Each installation ,
'Pump'or'lrrigatioh ~$50.00
Sign/Outline Lighting . $50.00
Limited Energy/Res $25.00
Liinited Energy/Comm' $45.00
t90:a3IHSt:J:J'
: 39Nt:JH:J
Og'Lg $ G:a:J3~ lWt:J
1002: tr 1:JO:31t:JO
9rtLOOO-tO:#SNt:J~1
Minimum Eleetric Permit Inspeetion Fee is 545.00 + Sureharges
. .
4, SUBTOTAL OF ABOVE
7% State Surcharge
S % Administrative Fce'
TOTAL
57S::-