HomeMy WebLinkAboutPermit Electrical 1999-11-23
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225 FIFTH STREET C2t!~!' . ~' ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 number!'" (,1 '>' "" ,~:'-ll~" Ci a .
INSPECTION REQUEST: 726-3769 Cr .0,,' . ")'City Job Number r (IS 7 7
OFFICE: 726-3759' .
..{. \3 COMPLETE FEE SCHEDULE BELOIl
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LEGAL DESCRIPTION
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Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
Items
'JOBA~ESCRIPTION 1000'sq.ft. or less
n..... lAh v..L.liDmIN. DFvlfl--e. 1.--1'6. "0 ~(}4 Each addi tional 500
~I",I_ C/JI<tJi1r. sq. ft or portion
~~~~ermits are non-transferable and expfre thereof
~vl if york is not ~tarted ~ithin 180 days Each Manuf'd Home,or
of issuance or 1f york 1S suspended for Modular. Dvelling'
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
L R.;_B bba ' Installation, Alterations
, Electrical Contractor NOll~; m, Inc. QIH~tion:
68'W t "Q" St hKCPERMITSHAL.LEXPIREIFl niT
Address es rlf",,,,,.. .. ~"'R1iHISPgo,lilTa'D.~S' or less
~Vl;llLC'uL)I_-, '?'Q~pelP.s to 400 amps
City Springfield PhoeoM,'.ttt\l~."ffuR'SABANDOV:or am~s to. 600 amps
. . ";"'~n.I1V PERIOD. 601 amps to 1000 amps
Supervisor License Numbe~Ny1~1 Over 1000 amps/volts
10/01'/)/ Reconnect Only
Expiration Date "
Constr Contr. Number 08699
Expiration Date
12/18/ CO
Signat~e of Supervising Electrician
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Ovners Name {!LTV OF $//</A!{,F/!db
Address c2:? 5 fi rtff :f?fx- '
Ci ty S pf/p . Phone q9f-: {'472
(IIrC
01lNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~~ignature:
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DATE: illl- U '17
RECEIPT II: '~()7. (..7. tt k
RECEIVED BY: J "tJ tWI .
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
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 flB" above
D. Branch Circuits
"
Nev, Alteration or Extension Per Panel
---
---1- $ 35.00 35:'
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5, SUBTOTAL OF ABOVE
'1'~ State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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