HomeMy WebLinkAboutPermit Electrical 2001-1-11
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The following project 8S submitted has the following
""'f1lni'l, an'" "'oes not require specific land use
225 FIFTH STREET <." 1:1' \I \J ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9'Bf!7~lJat, , ,
INSPECTION REQUEST: 726-3~\ng (I.~ City Job Number 0 r ~ ooo-:sy-Ol
OFFICE: 726-3759Ba\~. 1-11- 0'
1. T N 0 INSTAta~~{I~'Il!(f!€ ,4\v.J 3. COMPLErE FEE SCHEDULE BELOY
jj~ ~ S7 . Sftr/l-Gf'tcr:1 6t ?7t.{ 74..
LEGAL DESCRIPTION
170 's Zb 3 ,
G 'Z( 0 ~
JpB DESC~PTION
LoVJ U;, L- Ti4-C11l. (J'1I5U tlJ(,/
Permits aLe non-transferable and expire
if ~oLk is not started 'Within 180 days
of issuance OL if work is suspended for
180 days. ' '
2. CONTRACTOR INSTALLATION ONLY B.
Elec trical Con tLactor (~-c.."c V-\Of" 'G€tL IJ'Ul
. ,-"",,- ,
Address ;)09~ (F4J(2f{ ST ~C,
Ci ty SRI2i!v(;/:::fE,O? 'Phone 7dG ':/4 G "3
Supervisor License NumbeL "2, (')6 R l?T
Expiration Date
Constr Contr. Number J~@dCJ..r:;;;-
Expiration Date 1~;j) _~ JQ)&-O)
Si~ lrJJ3ectrician
, ~ ~ . D.
Owners Name~r-b'i~-t) [:-1. c;r LJ\/u>E:{,TO/!-S
Address ~~, Z 0-/74 .5"~~
City e:u..6{;;/\/t::' Phone Lft'f - V6Z~
OYNER INSTALLATION
The installation is being made on
pLoperty I o~n whi~h is not intended
for sale, lease or rent.
Ovners Signature:,
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
b\\lO(
'-1 'Z '7.. ., ]) L
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Hom~ or,
Modular 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
,$ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
, ,:J$300. 00'
. $ 40. 00
. ' ~'. tt ,
C.
Temporary Services~~i Feeders
Installation, Alteration. or Relocation
200 amp~.oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or 'With Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
)(
f
$ 40.00
$ 40.~ -i
$ 20 :Otg:6:
, ::N'I-i
$ 36.~t5
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'~~ ~ t:::J 25 t';
- 'tF. I I I 13'. <.J f',,)
I-' .. 0 J-.l. -.J
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL,