HomeMy WebLinkAboutPermit Electrical 2001-1-4 (2)
The following project as submitted has the following
zoning, and does not require specific land use
approval. ~
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Aillli6Fii1lil6:llgnature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1, LOCATION of INSTALLATION
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LEGAL DESCRIPTION
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JOB DES~PTION
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor J~i>1) t ~ f~Lec:t
AddressP..-O \ t3 0 X J D (P 7
City~_fJ y- Phone 7;). (; -C{ 3 () j
Supervi.sor License Number J (P 71 -3'
Expiration Date 10/0 110 I
Constr Contr. Number::J.() - r7a C.-.
Expiration Date 10 10 J 101
Signatu~~~, up < vi~Electrician
#~ A.//: /
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O~ners Na D-A l ~ e .::::re, e-
Address Z/S"b h (-+~ 4,;r
City s::?f'b Phone 7L(( ~ 06)0
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
DATE: Oro<.{or
RECEIPT I:
RECEIVED BY:l\~
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ELECTRICAL PERMIT APPLICATION
City Job Number.o:::> -0/475'-o(
3, COMPLETE FEE SCHEDULE BELOY
A, Ne~ Residential-Single or
Multi-Family per d~elling uni t.
Service Included:
Items Cost Sum
1000 sq.ft, or less S 85.00
Each additional 500
sq. ft or portion
thereof S 15.00
Each Manuf'd Home, or
Modular 'D~elling
Service or Feeder S 40.00
B.
Services or Feeders
Installation, Alterations
or RE'location:
-
200 amps or less ./
201 amps to 400 amp~
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
i/sO
S 50,00
$ 60,00
$100,00
$130.00
$300.00
S 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
$ 40,00
$ 55,00
S 80.00
volts see "B" above
D.
Branch Circuits
.'
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
$ 35,00
S 2.00
E,
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40 ~O
S 40~\b ~
$ 20~e:; ~
$ 36~lJ.' 52
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t--IC"'J 00
1'T1$+-f-"-~
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SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL