HomeMy WebLinkAboutPermit Electrical 2007-2-1 (2)
~ ,
CITY OF ~rRINGF(ELD. OREGON ,_,
SPR'NOFII!:LO ~
22S "u ,n STREET 0 SPRINGFIELD, OR 97477 0 PB:(S41)726-3753 0 FAX: (S41)726-3689 ~. ~
ELECTRICAL PERMIT APPUCATI~ \ \ Q1n ' "..
City ]obNwnber Ct."", <--u'-" (- U U I 'S ~ 0l0'\V) Date '2 -( - 0 -/
1. LOCATION OF INSTALLATION 3. COMPLETE FEE SCHEDULE BELOW
:r3 b 3 (<,-.I 1:'V'I,,"'....cL \/L
W I oiL Ci" t>A~ '(.fN ~
00 '02
(;u...:A~t:: ;I (
A. New Re.idential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq, ft, or less
Each additional 500 sq. ft, or
portion thereof
$106,00
LEGAL DESCRIPTION
)761 Z'Zo~
JOB DESCRIPTION
$19,00
Permits are non-transferable and expire If work is
not started witbln 180 days ofissuance or if work is
Suspended for 180 days.
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50,00
2.
CONTRACTOR INSTALLATION ONLY
B. Sen"ices or Fceden - Installation, Alterations or Relocation:
Electrical Contractor Alert Electric Inc 200 Amps or less
201 Amps to 400 Amps
Address 1970 N. 28th Street 401 Amps to 600 Amps
601 Amps to 1000 Amps
City Sprinqfield Phone (541) 74 7-2213Over 1000 AmpsIVolts
Reconnect Only
3
(
$ 63,00
$ 75,00
$125,00
$163,00
$375.00
$ 50,00
18~
7S"
Supervisor License Number 2-'48S-,\" C. Temporary Sen"iccs or Fccders
rOI/q,l!J(rui '~'~'~Ir;;!J'"
Expiration Date 1 0 I 0 1~61&P.at:e: e~ adOlllBd b '<I.. '~~&~on, Alteration or Relocation
In OAR 95" "enter. Th/ the:fOO-~ulc/5~w I $ 50,00 5"0
Constr, Contr. Number It'2(jgil- v~. ,e-001-otJ1rtthr,se ru@! ~ttllitvAmPS S 69.00
, , _ Cal/in;;;';;;<iljf Obtain ~eh4O\~~ bw.mps $100.00
ExplI8l1onDate O::>~lnJY1' crant"", ,^7OPi3s"'~6&.<<XJI~011000V Its "B"abov
3'~, IWIfIo ..:-'\f110fC3: t~ l:)Vtti-......<Sh6r 0 see e,
Signature of Supervising Electrician Center IS'7:/on UiCliti;~~~~~g8Ats
:P 00-332-2~1r~B or Extension Per Panel
~,/ ~ o;u'Circuit $ 43,00
, V ~ Each Additional Circuit or with
~~ I r A /4 I Service or Feeder Permit Ll4 $ 3,00 I '3 z..
Ownera Name ", c:.e't;tll:l"9 "'-
Address ' ,?O~" 8/S:f: I ~ 7' E. Miscellaneou. (Sen'ice/feeder nol included) -Each 1n.tallation
'.0 I ~ PrtI!!r
City ~~'-~"/fT"~ ~,. Pwnpor inigation $50,00
COP'T'TTU IZED UND ~.. C)(PIRE IF T. SignIOulline Lighting $ 50,00
OWNER INrn:~~NCED OR I%R THIS PERM HEl~.....-gy/Residential $ 25.00
The installation is being JJ.a bh'\}.' ::;'Civib M~rvE IT ~Energy/Commercia1 $ 45,00
ia not ;ntondM for sale. lease or rent. FJ. ~{l,{tm Electric Permit inspection Fee Is S4S.00 + Surcharges
In.pectlon Request: 7:16-3769
8% State Surcharge
10% Administrative Fee
~ % r~1I- f'et--
TOTAL
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~
4t.{b~
.3S'c8
L( L{ f>O
'27. '10
Owners Signature:
4. SUBTOTAL OF ABOVE
'lil{11
Sharod Drivc:(T:)lBuilding FonnalElcctrical Pc:nnit Appliatioa 1-06.doc