HomeMy WebLinkAboutPermit Electrical 2000-4-7 (2)
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.OIlOWing project as submitted has the follOwing .
zonIng, and does not require specific land use SPRINGFIELD
Date
AuthOrized Signature.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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LEGAL DESCRIPTION ~
I '1d 2- :3c;;, =3 L) - (')08"00
1. LOCATION OF INSJ~.LI.ATION
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JOB DESCRIPTION
PuiA-lA' f<.ePU+C ~
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Permits are non-transferable and eX~irl
if work is not started within 180 d ys
of issuance or if. work is suspended ,fOI'
180 days. :
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2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
V\A.c.<<-et;J~ie [/i}{L..tiW f/VWJf/
Address f 0 ~ I.~'" / . .
Ci ty 1/ {f}kJ- 9?<i.i! Phone r:f'b ~ot.f.5'3>
Supervi~or License Num~r. _ __/(
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Expiration Date
ELECTRICAL PERMIT APPLICATION
City J~b Number 00 -0 (J':!"}6"-,- Oc
.B.
Services or Feeders
Installation, Alterations
or Relocation:
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number $V2'3 'r
C. Temporary Services or Feeders
Installation, Alteration or Relocation
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93.. ~ COMPLETE FEE SCHEDULE BELOII
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\ .g" A€aNew Residential-Single or
-;1 \s ~ i\Multi-Family per dwelling unit.
_~ !? ;Service Included:
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?lg. Items Cost
: ~OOO sq. ft. or less
~ ~ach additional 500
o "" f .
;;: ~sq. t or portlon
~ "thereof
~~ch Manuf'd Home. or
1;; ~odularDwelling
'" \Service or Feeder
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Expiration Date
Signature of Supervising Electrician
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Owners Name !2l9lA.JPy {2e/LL 1/
Address / Be) s. 79 II! 5Z;
Ci ty )IYl00 61t.-A.-t!_ Phone
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
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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
200 amps"or 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
$ 35.00
One .Circuit
Each Additional
Circuit or with Service
or Feeder Permit
o'
$ 2.00
/'
not included)
L,J iJ/:J Q)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energ~/Comm
E.
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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