HomeMy WebLinkAboutPermit Electrical 2001-5-7
The, following project as submitted has lhe following
zomng, and does not require specific land use
approval.
Zoning 1.:Da-
Dale
",-7-0J
4'<\ '
225 FIFTH STREET
SPRINGFIELD, OREGON ~zed Signa lure
INSPECTION REQUEST: 726-3769.
OFFICE: 726-3759
1. LOCATION OF INSTALLA'qON ()
1\ , 7 ,f ~ '(11L- Vfl_ d l!.f!:p
/
LEGAL DESCRIPTION
170 '3.2.-,,(./3.
/OL{OO
JOB JESCRIPTION _ [' ,
! .4 t", /LP. ~-!Jlri::'r.cUL-
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 Contractor (?/Jt/;::X,I rt-a
Addl'ess 1?tJ. !!to ^---- 'Yt'C
Ci ty rzA'4cv~t'?- Phone f?9~Zt'5'?/
Supervisor License Number
Expiration Date
Constr Contr. Number r; 7' 94'/1
Expiration Date l' -1'1 - '" 'J
Signature,~uperviSing Electrician
AS Az&/IJ~
Owners Name /-::' vf r<f.A'E ;r" fh/~a
Address ~ 0 Z &y- 7'1 Z. ~
Ci ty (:''' ('__~-d~.s:-' Phone 5Y{-71f<( -2M
OYNER INSTALLATION
The installation is being made on
property I owp. which is not intended
for sale, lease or rent.
Owners Signature:
DATE: 0 5""c7C> !
RECEIPT II: 518'OS--
RECEIVED BY: ---.,....,'/C
ELECTRICAL PERMIT APPLICATION
-City Job Numberc)1 -002 (/ - 0 I
COMPLETE FEE SCHEDULE BELOV
3.
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
B. Services'or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
uni t.
Items
Cost
Sum
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00,
$130.00
$300.00
$ 40.00
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 100u volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bll above
.'
New, Alteration or Extension Per Panel
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
$ 35.00
$ 2.00
not included)
\(
$ 40.00
$ 40.00 :J?
$ 20.00 ~::g
$ 36.00 pi;:;:!~
c-J.. =**
~ 0:3:;--
-'7. .. DO
L-' _ ')-<~
:c I
--:- 00.00
rr1 ::c -:I 0
-~~~~
(f;i::;:.moob;
.........OPO'1
'-