HomeMy WebLinkAboutPermit Electrical 2001-2-28
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DEVELOPMENT SERVICES DflAfc.TMENT
e. ollowing project as submitted has the toll owing
zOning, and does not require specific land use
approval.
Zoning
1-.7/ fL
225 FIITH STREET'} , '7.f6 _~
SPRINGFIELD, OREGON 974ftte ,-
INSPECTION REQUEST: 726'llm9Gd Signature
OFFICE: 726-3759
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~~\:TRICAL PERMIT APPLICATION
City Job Nwnber_/)J-6;'J/~/-t2L
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLA'l:ION
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LEGAL DESCRIPTION
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~()Il DRS ',. .PTT.O
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Permits are n~-tran~erable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sQ.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
..-- A _ __ ~\ -d L..lg Im\t~ll:ation, Alterations
Electrical Contractor~rr ~}nw:nl'\ "IRet~tion:
Address \).0. \?xJ'{ 4 t '2. J lC"F- N. . amps or less
o - '/ ^ . amps to 400 amps
Cit)( HJt:: . Phone UL'86-d.:::130 401 amps to 600 amps
601 amps to 1000 amps
Supervisor icense Number -8.1 ()rJ 0.1=\ Over 1000 amps/volts
. ~ I I 10 ^ n . Reconnect Only
Expiration Date~10
I r--I A 1"l'l5 C. .Temporary Services or Feeders
Constr Contr. Number \~)LU l- _ Installation, Alteration or Relocation
1
X
Expiration Date
Sif"~ture of s~vising Electrician
r_~~ b~
( :::- ~
Owners Name (' {l r I "-\'\ (' to\se f1
Address ~'2.. C\Q~I\hef >I ~nlk .
CitY~""f\q~dcLPhone lL\ \.1&18
OVNER Ik\ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
'37~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
L----
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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