HomeMy WebLinkAboutPermit Electrical 2001-3-21
oes not reqUire spe~'flc land '9
{use
'1)'/1..-
ZonrnQ r
Date 7 --- AI 0 l
Authorrzed SlgnatoJrs cf<M)
225 FIFTH STREhT
SPRINGFIELD OREGON 97477
INSPECTION REQUEST 726-3769
OFFICE 726-3759
LOCATION O~N~ALLA'PPN -\ 7J.
-:1l('f76~ 01 [/tt'w'RIJe
LEGAL DESCRIITION ~
/70') /4tlL:J (!)/~OJ-
Alo~L'eZp! p~
PermIts are non-transferable and expIre
If work IS not started wIthIn 180 days
of Issuance Ol If work IS suspended for
180 days
1
2 CONTRACTOR INSTALLATION ONLY
ElectrIcal Contractor ~ S ~~J~
Address (). 0 D(/X 2 f/9'.:? :5
Clty~S~ Phone &J-t-r:2.3C
Supel Vl c;nr LIcense Number '3 '1<1'7 S'
l:.xPIro. Ion Date /0 /1 // /".J /
Constr Contl Number ~~8 7
EXpIratIon Date 1.2/:1 ~ /o~
f /
S1:::re ~~1;ng;~eC~C1an
Ers L0(oiJr.<.f t'IlAM-I'l:-
Address 3 l..( 'I? 7J At-f)1..1 lAw 7)/L
Clly %/lJ~ eLt? Phon: ''I(~79J.>'
OVNER INSTALLATION
The InstallatIon IS beIng made on
property I own whIch IS not Intended
~OO ~3j~8~5ale lease or rent
~~er~ SIgnature
Ow L1'~ $ l.J Gu::i':1 n.H:.!
l:OO~ 1(3 ':1~M 31~a
8GL~UuD=~u~~~~~~----------------------------
DATE
RECEIPT #
RECEIVED BY
ELECTRICAL PERMIT APPLICATION
CIty Job Number
tJ 1- C{)2f'~ -CJ ('
3 COMPLETE FEE SCHEDULE BELOV
A
New ReSIdentIal-SIngle or
MultI-FamIly per dwellIng unIt
Selvlce Included
Items Cost
Sum
1000 sq ft or less $ 85 00
Each addItIonal 500
sq ft or portlon
thereof $ 15 00
Each Manuf d Home or
Modular DwellIng
SerVIce or Feedel $ 40 00
B SerVIces or Feeders
~ . A/InstallatIon AlteratIons
'Ld)W~or RelocatIon
:IntCt
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
$300 00
$ 40 00
C
TemporalY SerVIces or Feeders
InstallatIon AlteratIon or RelocatIon
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps Ol 1000
$ 40 00
$ 55 00
$ 80 00
volts see B
above
D
Branch CIrCUIts
New
AlteratIon or ExtenSIon Per Panel
I
1.5-
..
$ 35 00
One CIrCUIt
Each AddItIonal
CIrCUIt or WIth SerVIce
or Feeder PermIt ~
2 00
~
$
E MIscellaneous (ServIce/feeder not Included)
-Each InstallatIon
Pump or IrrIgatIon $ 40 00
SIgn/OutlIne LIghtIng $ 40 00
LImIted Energy/Res $ 20 00
LImIted Energy/Comm $ 36 00
5 SUBTOTAL OF ABOVE ~~q tJ-r/
7/ State Surcharge
3/ AdmInIstratIve Fee
TOTAL