HomeMy WebLinkAboutPermit Electrical 2001-3-20
DEVELOPMENT SERVICES DEPARTMENT 10\\ow\09
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225 FIFTH STREET 20n\~g-4a\' , /Q-O .- 0 . LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGQ!L9..~ 1.011" ~ / '1/- 2 oj
INSPECTION REQlJ~ 726-3769. , City Job Number 0 00 c?'-CP::::>
OFFICE: 726-3759 Date - . fe
.' {1Z,eO Signat\l 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTAL~ifiON
J.jsCn~ 'BE:A VttZ ST-
LEGAL DESCRIPTION
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Permits are non-transferable and expire
if work ~~~"Pp:SlEs;tarted wi thin 180 days
of issuance or if,w,Qrk i.SJpslus~'Hded.Wf@"li<
180 days1:H1S PERM I r SHALL t:^ Irit: ,t"' I Fit:. un'.
AUTHORIZED UNDER THIS PERMIT IS NOl
2 . CONTRACTORNLNS~M.LA'1'iE0NJ[9N1J~O FOR
vVI\liIVICI vCU vn Iv nun. .....' .~
Elec t ri caJlIYd0'f.i\t8f'a"t !t'5tl 100. /
~s /
."'City ~ ~e
Supervisor
.~
~,
Signature of Supervising Electrician
Owners Name..::J A-M.t=='"S 1-1. '"D Icll?S"ld
Address tf'8foS ~AtJ~ 5r.
Ci ty SPFL 0 Phone 7'-/7 ~ ~
, OWNER INSTALLATION
The installation'is being made on '
property I own which is not intended
for sale, lease or rent.
~r!l~~
~---~------------------~--------------
DATE: 63 ~ ;;-0-- 6/ .
RECEIPT #: . ~ / / ~
RECEIVED BY:./? maLl1t7--ftA-J
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
B.
Items Cost
" r .',. .r ", ,'. "OfV-'~ ....l~' "!::fJ' '''''6S "0" l .
1000\: · Lf.l;1....'.'-lJ.'" ...c.. ~ .'"'" $ 85.....(:)-0
'I)lr{"lq~.. q~!;~,ol~"H.ff!J.I~)'.:.>~~~lr9r.-.orl vb:,.'
Eacf.i .~.da J, t 19J1a~ ~OQ , , " ...> -t::;. ,~ct f-- { .
"'1t!flt-:'; ','':'1' ':~d't:"'" i ;I(IBE t\..!!e~ :;tL. :::0.. .I"
sq. 0r por Ion . O' - Uhf) '\1".-'
thef.'e"<ff952~OO'I-0U1~ thrDuglt A~ "1"5-:bo I,'
E L,'c'M" "f f,,;]I"H --I-'.a'''' ,..U"l..... ' ,1 thG rules oJ"
aCI'!J ,aOl!l..l '" (;'. orne or" \"' V-' .,.,
. MO"d4:.*-4?in@weJ:~ilhtg,~. \i\iOk~ (l1E:tele'p'110~e. "
SerrYaS',~lfJ9ro~Ft~o~d~:r::ig01' 'jt~l;t\, 1\!I$ilt403.t€f01
r,~~;\ '.<" ". .:" ~_,'::~:-.::';.:.~4).
Services oi'F~eders
.Installation, Alterations
or Relocation:
Sum
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 .crV
$ 50.00
$ 60.00 .
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 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 " i:)'b. 00
7%. State Surcharge . a....) U
3% Administrative Fee ('--v
TOTAL , ,5.'~J A 0U
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