HomeMy WebLinkAboutPermit Electrical 2001-11-16
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The f&'9 ~fale01 as submitted has tha following a
225 FIFTH STREET zonin. ailes nol rsq'ulra specifiC land usa ELE_CAL PERMIT APPLICATION
SPRINGFIELD OREi9mN'"9'!477 ' ,i . ", :
INSPECTION REQVEST: 72irffi1il@-.=,:.LJ)~'=:-: I. 'r;'~ob Numher C'l (_0 I :lll ~ (:) \
OFFICE: 726-3759 bate l \ WeJo !: .: I " ,
'''.' . . ' , " e: ...J2\aUt..I,,.eoMPLETE F~E SCHEDULE BELOW
I. LOCATI(f1'jOF~~~ ("'\ ,'J, .'
~~~. . 'K.~,b~"",-'.~, 1\. New Rcsidenti;"-Single or'.'..' .. -..
Multi-Family per dwelling unit.
Sen-ice Included:
200 amps or less
"--... .__~. 20 I amps to 400 amps
.. -"-Oy~ 401 to 600 amps
Ovei600 amps OI,!OOO volts see
"BIl above -
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D. Branch Circuits, ?-
New/Alteration or Extensiou Per Panel
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I'j J
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Ode'Circuit
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LEGAL DESCRIPTION
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Permits are non-transferable aud expire
if work is not staned within 180 days
of issuauce .or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
ElcetriealC.ontraetor fr){O'\.-.. '[ l~
Address i~l.") \(. W V\A.llA. ~{UJ
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Cit;~~ Phone ~'tS~ ;).It'tO
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Sup~rvis~r Lieeu~c'Number 3 c.. 'y ~
1'1 b I I Lt
Expiration Date' ,0,
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c.(.~C\~
'-Constr l;:ontr. Number
, ",Expiration D~~-"''''>-r 'I 'f ).0 c..
. st., ,;<< O"~''''';d''
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'S Name '6r".c"ck
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e S,<- ?/o",.ro-..., p-.
Address Z5sc:::..
City S~~
Phone
OWNER INSTALLATION
The installation is being made on
property I O\\"ll which is not intended
for sale? lease or rent.,
Owners Signature:
T90:~3IHS\1::J
:39N~H:J
O~'b8 $G:a:J3~ lW\1
TOOl W !\ON:31\iG
8~TlOOO-TO;#SN\i~1
1000 sq.ft. or less
Each additional 500
sq. ft or ponion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations or
Relocation:
"
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200 amps or less
20 I amps to 400 amps
401 amps to 600 amps
. I
6Ql amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C. Temporar)' Scn-ices or Feeders
Installation, Alteration or Relocation
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Items Cost
Sum
$106,00
$ 19.00
$ 50.00
"
--L $ 63.00' (. ~ .
$ 75.00
$125.00
$16~.00
$375.00
$ 50.00
$50.00
$69.00
$100.00
$43.00
1,/ )
Ea~h Addition~l Cir,cuit or with Service r
?I,'Feeder Pen.nit ", ~ $ 3.00 12-
:;1 .".
E. Miscellaneous (Service/feeder not included)
; -Each insiallatioh
\.' ""0 ;,
. Pump 'or)rrigation
"Sign/Outline Lighting
, Limited Energy/Res
, Limited Energy/Comm'
... $50.00
='$50.00
$25.00
$45.00~
I\linimum EI~ctric Permit Inspection Fee is $45.00 + Surcharges
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4. SUBTOTAL OF ABOVE
70/0 State Surcharge
8% Administrative Fcc
elf'
TOTAL \de... 1( 'it
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