HomeMy WebLinkAboutPermit Electrical 2002-7-16
225 FIFfH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 ' , , City Job Numhe",-,,,,o.2.-o 0 '25'fZ-O I
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OFFICE: 726-3759 , I fo'~c\aSSUbrnltledtl~iC land use
itletol)owlOg p~: 6l1D~~'F'EE SCHEDULE BELOW
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I LOCATIONOFINSTALLATION'on1n, :, 'J 'p,,-
~ \ >fl.' _ I/' 'l'I0 approva\., vI"
n 4' ~ ~ W"rLL! '. - iOfUp(g. Nl.!l. Rt:SHlcntial-Sin(Jle
\I ..0 a- amil)' per dwelling unit.
9 aat.e , ........;uucll:
/0 ' 0 S-d\lQ.liZed SignalUre
C. Temporary SerYices or Feeders
Installation, Alteration or Relocation
200 amps or less '<00 56;~
201 amps 10 400 amps ~~~~:~o
-.,.Over40110600amps ~~~ ~~OO,OO=
Over 600 amps or ~OO\~J..':f:,~~i'\) '<~
"B" above, '*'~\,\, '\~ ~'\)'\)~
D. Bran~~~~~~ \,,'\)<.:.~ ~<:o~
Owner, Name I~~~ ~ 'tdi.'r.' ~~lll~~erpanel
~'- l:o ' 'S1:" ~'\) ~ ~,~,\:j: ~~(;J, ~ ~~r
Address '2-55':? t:.a..,..." ~ - -~ one~~~~'.O~'\)~ ~ $43,00 _
~ C' '')'1C ' (;J.~,\ '" ,~e"''l D\~\\'l ~
CilY' bone II ~ -;to. I b "l- Each A/lltIlional Circuil\Qf-~~i~~serv~g:\O~ ".
orFeederPermilo~\\l.'>ll eO~ ~~.$l(?j,1)~
OWNER INSTALLATION .O~eg o'O'l\~ ~~\e~l>-~':!l"-~0'!>'O -
The installation is being made on E. l\IiSCellanebl\~~'~el~i~c/feCflj;lr ubi include~l~\'o^e
,,,, .:G- \" 0'1>'0 ~\:' ~ ". ~
, property I 0\\'0 which is not intended ,,\-"EacU\Ulst Ili!lilln:\()<<'~ f$\0"'0 \0\0~,~'l>~0
for sale, lease or rent. t' ~~,yi\lg,'(li'i~i~~iil~. i>>~ CO 0"~~'l"'\O\~\~~O'OO_
\0 ~ig1\;>~y!n~ k~ljlr~~.~O\! D\~\'I~-$)OOO _
~~~J11l?e.i\~6I'i,\y/%'S\e ~Q,O~ ~'?l?;- $2500_
\f~~Ji}c(t E~ei~.r~~ \,~\l(Y _ $4500 _
(l c~\\f' ~'O~ e~\'"
l\Iinimum EI~\lt1ilP~el:rii'i't\!InSJlection Fee i, S45.00 + Surcbarges
SO
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LEGAL DESCRIPTION
170523'-13
JOB DESCRIPTION '
\~~,__~~~f~
+-re;n~i1fJ?c non-tn~I~~e~-
if work is no!started within 180 da'(s"c c::s-
of issuance or if work is suspended for
180 days,
2, CONTRACTOR I~STALLATION ONL/ B.
Elec 'ca{'Contractor /
/
/
/
City
""', 4e
'. Constr Contr. Number
..~
.., \,
Expiration Date
( Signature of ~uJlcJ"vising Electrician
On'llers Signature:
Ho,;i-3liiS';::>'~CJ
'''1l\VI1 6 - (
':,......!.\,.r ,
f)C; /S $ :' G:J~~I 1.i'!~' .
:~;)OZ ~', 'f/ ::t21:"..l
/)i661'}(1, m ,~r~'I;j~J
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ELWffiICAL PERMIT APPLICATION
Items Cosl
Sum
100Q sq,fl. or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106,00
$ 19,00
$ 50,00
Sen'iccs or Feeders
Installation, Alterations or
Relocation:
200 amps or less
20 I amps to 400 amps
40 I amps to 600 amps
601 amps to 1000 amps
O,;er 1000 amps/volts
Reconnect Only
$ 63.00
$ 75,00
$125,00
$163.00
$375.00
$ 50.00
4. SUBTOTAL OF ABOVE
70/0 State Surcharge
SIVO Administrative Fcc
TOTAL