HomeMy WebLinkAboutPermit Electrical 2000-3-3 (2)
The. following project as submitted has the following
zoning, and does not require specific land use
approval.
Zoning (J (I
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
9749,le
726ut11'1'6'9d Signature
1.
LEG/}L DEh~~ION
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JOB DESCRIPTIQN
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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. I -z;t;g'
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor5B. ;: /....t"-I6{'rJ1c
Address 4 Ill. c; I.L.J I:!:b- ;ti:. L9:
Ci ty.1rrc . Phone L <JS7'777o .
,
Supel'visor License Number ...:3-1L7"2_C:;
Expiration Date l~~\
Constr Contr. Number ~"'YJ1Jg7C
Expiration Date (% 00
Signa ur fo~dan
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ame j !..#~ "f.'
Address
City
Phone
OIINER INSTALLATION
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:
ELECTRICAL PERMIT APPLICATION
r; tv Job Number OO~OO ~ L) 6'~C/
3. COMPLETE FEE SCHEDULE BELO\I
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
LOCATION OF IN~LATION
I T7 ~"g <;'+, A. New Residen t ial-Single or
" "" 0:3-:2. S J l~ _ Multi-Family per dwelling
1'1" ;;J O~~ Service Included:
r'". ':.r:I", . Items
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps -to 1000 amps
Over 1000 amps/volts
Reconnec t . Only
unit.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130:00'
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps' ~OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
,"
1.
New, Alteration or Extension Per Panel
=?e;-
$ 35.00
E.
One ~Circui t
Each Additional
Citcuit or with Service
or' Feeder Permi t 'h
,
,
Mis~llaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
,?% State Surcharge
3% Administrative Fee
TOTAL
$
10-
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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