HomeMy WebLinkAboutPermit Electrical 2001-5-22
225 FIFTH STREET ELECL~CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Sen'ice Included:
/70-?__ ~4-// / ~ 7'0 D Items Cost Sum
JOB DESCRIPTION
r/(Jll, #/ eltt-.T ,AX .5'17(
Permits are non-transferable and expire
if work is not started within 180 days
of issua nce or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical' Contractor
OwncrsNamc \\?5N ~~~^J D.
Address ~t}~(o ~CNrO.A LV\
City S~\("t Phone5SL\ -q;)b '"L
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~L'
. \ '. f \vtl)
;3 ~ a:i3;:i Jj~~tj
At!~J ~ J.LliQ
TO ~ :~SNUtil
1000 sq, ft. 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
B. Services 01' Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 63.00
201 amps to 400 amps $ 75.00
401 amps to 600 amps $125.00
601 amps to 1000 amps "I$JG}JilO. '
Over 1 OOQ(amps/wolts' ...Ii e~,," b.c'i;;~-01'c$jjPId0\it'l"
Reconn~~M~?wY oPle~hIse ~ulossar~o.~@'o. ton'
!\!oti . . n-OAR 952-00\-
Tem}lorary.l~e ' 1? th:?~~$ of the rules by
InstalIationi)&!trsP\lbio.n@'f.iRelBHUr~~~: the telepho~e
, calling the r. t n Utility Notificatlor
200 amp~an1ts]rfor: . r~g~r_~~:~ ~3~9..00
201 amps to 400 @UlfSert'?1 Ii ' $69.00
Over 401 to 600 amps $100.00
Over 600 amps or 1000 volts see
"B" above
Brancl\\q)lWE', l ~P\RE \F1HE WORK
Ne'~~If\tt~M\-1E~~~~ 1~\~1~RM\1 \SN01
HOR\IED UND nONED FOR
one~~W~ENCEO OR \S ~B~Nz..:-.- $43,00 4-3
CON\\Vl . n~Y PER\OD,
Eacl1A'NI~i~~l"Circuit or with Service
or Feeder Permit
$ 3.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50,00
$50.00
$25,00
$45.00
Minimum Electric Pel"mit Inspection Fce is 545.00 + Surcharges
4. SUBTOTALOFABOVE
7% State Surcharge
8% Administrative Fcc
4~{)D
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TOTAL