HomeMy WebLinkAboutPermit Electrical 2002-7-23
225 FIFTH STREET :h~/Ol/owingprojecta ELECTRICAL PERMIT APPLICATION
SPRINGFIEW, OREGON 9741Xrn~. and does not ~:ubmiHedhasthetol '
INSPECTION REQUEST: 726-3~g'9 qUl~ecifjc land ~~,'{'ey Job Number () 2. -OO'-{Lf7 ~ 0 I
OFFICE: 726-3759 20ning_ I ()f ~
Date ;2.3 3
1. LOCATION OF INSTALI,.b,1.'J;.~~, -0"2.-
824_Wav i2,,f~1L 'jC>JcwHrure(JIo-t
I
LEGAL DESCRIPTION
/703. 29../'"7"
///00
JOB DESCRIPTION
Security SYStem
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
225 FIFTH STREET
SPRINGFIELD, OR 97477
154/) 726.3753 '
FAX (547) 726-3689
f:OMPLBTE FEE S".......ua.B BELOII
dential-Single or
ti-Family per dwelling unit.
Serv ce Included:
Items
Cost
Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical ContractorSecuMtyPlusAlann&Protection or Relocation:
Address
2260 SandY Dr
Ci ty EUQene
Phone 687-&474
3012JLE
Supervisor License Number ~7r.1~
Expiration Date 10-01-02
Constr Contr. Number 125673
Expiration Date 10-13-02 /
Si~~~~ectrician
Owners Name f' I / Character Homes
Address
835 Sand Ave,
City
Phone 345-9395
Euaene
OIlNER INSTALLATION
The installation is being made on
property r own which is not intended
for sale, lease or rent.
190:~3Iovners Signature:
: 39N~H8
SL'1S $ Z:a81~ IWH
200Z ~G-~Rf~~~v~------------------------------
L 100100D~!B:Q~IHlJ I
RECEIPT I:
RECEIVED BY:
200 amps or less S 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only ~ $ 40.00
C. Temporary servic~~~~~)rs
rnstanatio1n, i\~t~~~~r Relocation
200 Imp. ~ 'ia ~~~~~ $ 40.00
~ ~ ~lIlpS $ 55.00
~'\~ ~y~~ amps ,\'o $ 80.00
11 v,.~ ~ ~l\.~';k 1000 VO?ts:ii's'e~, "B" above
'\" i\t-~~ ~~'C" ~0'" ~'V'~,o<' ~.
D~~~~~CUi ts <.0~ ~0~0 0",0 <:?':) '0'\
~\> "" \'ij \~~ 00 f':J~ C?J'::> ~0<b
~\), Al tera t i~n':' ~l\~E~~~,:t~'P~~~8Pel
. ,.O<.'li ",0~~0",0 O~~ f':J ~ ~ r>01.~#
One CHcul't ~,o'<' '!f :.0 ",'1$0<_.00
Each All1lYt-!'Oni\l'<" ~':) c,o'< 0~"~~~'
Ci l'ci.(ili ,~~rcGi.th')<:IS~f'v~~ 'V~ 'J,"J"
o~~e.e'dep"!i.aFnii tP~0<"_(.~.,'~'l>~$ 2.00
,0 .~'v~ C?J'::> (i'~'" 0~ O<.0'iJ(;:,CS'
E. MiSCEttl~~~ -.<-sg~l~e/~eeder not included)
-Eacb~ifi~:ta, Jilt.ton ~0<"'"
Pump of Pi ICPLj!!'fien':' $ 40.00
Sign/Outli~e~iigWting $ 40.00
Limited Energy/Res ; $ 20.00 Zo
Limited Energy/Comm $ 36.00
'is
3f)
.>OQ
5/7'
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL