HomeMy WebLinkAboutPermit Electrical 2001-5-3
. ubmitted has the 1allowin9
The following project ~s :qUire specific land use
zoning, and does no r
225 FIFTH STREET approval I)"') {l- , ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning ~""';J
INSPECTION REQUEST: 726-3769 - - - City Job Numbea-OO l(ob'O I
OFFICE: 726-3759 Dale - _
"","o"zed Signatu.e - :; . COMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLAT~OI:\
i..\(a\ ~\N ();\ \/'iP-,w
I\.,..w;. oFf- W. D. -;:;;t-.
LEGAL DESCRIPTION
17033v'l/ D"3 S-OO
JOB Ds;5CRIPTION
H ~ / ';::;. (\-,-vAr \,.,. c..,\ lM" rl ~'*
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
E1ec trical Con tractor C\0,\sL. 'l( 0 O.J.(')~
Address \ 6Cn Cn~ t.A1..t
Ci ty SGp-Ln Phone,l)~Co -c, r;e;/
Supel'visor License Number ~ ;:;;2;:<,s.
Expiration Date 10 -AI
Constr Contr. Number'~O -L.jC7'7C-
Expiration Date It) --CJd..
Signature of Supervising Electrician
Ovners Namei:j 0 \.c.,,' , ifV<<,
AddressLl(o \ Q\M J.Jo( \Ii P,W
City~~_\) Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Ovners Signature:
~ATE~-------2?-S=()-~c;?---------------
tU,\..t.J.1'l. if:
RECEIVED BY:
;'j(
A. Nev Residential-Single or
Multi-Family per dve11ing unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf/d Home, or
Modu1ar'Dvelling'
Service or Feeder
$ 85.00
$ 15.00
,$ 40.00
.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
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch Circuits
..
Nev, Alteration or Extension Per Panel
One Circuit \ $ 35.00 '3S"
Each Additional
Circuit or vith Service 'd-/
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40IPO
Limited Energy/Res \ $ 20~,Q,:;:90'
Limi ted Energy/Comm $ 36;:Jl~ ~
rr1 rT1 co
5. SUBTOTAL OF ABOVE 2}. .g ~ ~
7% State Surcharge '-2/.oro -<,:;.
3% Administrative Fee ~OJ~,q~
TOTAL ~~: f;
am. 01-1'
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