HomeMy WebLinkAboutPermit Electrical 2001-2-8
05
. DATE: FEB 08 2001
AMT RECD:2 $ 39.60
CHANGE:
CASHIER:059
:ehECTRICAL PERMIT APPLICATION
ThE f(1110','Jirtp project as submitted h~~ the following
zoning &1,0 does not require specific land use
approval
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoning C C/
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Date .. ',::: \
9747 .. ~
72~~ty:g'geo Slgnatu.b
1. LOCATI..,QN OF INSTALLATION
Rq() t5eJ!)//Je ~.
LEGAL DESCRIPTION 0 ~
l~o3. {~.~O G(Yi L./
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Electrical Contractor 1l1N kt.5en/ittJ5
. Address JC}{)CJ InJI nct~C!t. _
Ci ty Lu~ e Phonje S~/-l~wt ...-/9;;1-1
Supervi.sor License Number jJ 3.12: G. T
Expiration Date 1 b ~ I ~ 6 ;;,L... .
Constr Contr. Number~f.&Y6IC'
Expiration Date 0 Y /;? /cJ ~
/ I
Si~~uP~t?j
......
Owners Name
-Si rA>,~ ~ C~
Address
City Phone
OVNER INSTALLATION
The .installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 9.. - 'fj - 0 (
RECEIPT #: l{l-\ &5
RECEIVED BY: U,,;
3.
City Job Number 00.- Ol1-~o-OI
COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less
Each additional 500
. sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15,00
.$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601.am~s to 1000 amp~
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circui t" or wi th 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 ~v
,",-/l~ l(,
5. SUBTOTAL OF ABOVE '?,6' .J~
7% State Surcharge
3% Administrative Fee
TOTAL ~ cy .60