HomeMy WebLinkAboutPermit Electrical 2000-4-12 (2)
Jan-21-99 Ol:49P
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225 FIITIl STREF.T ZOOIO d does 11 ~ EII"CTIUCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477a??fO I, lY ,0
INSPECTION REOUEST: 726.3769 zoolo.4=ld._o-1 l.lt~ Job Number 00- OOSS~L~
OFFICE: 726-3759 -:;;-;)-
, Dale - 'oat",e _ 3~1"=coHP1.ETP. FEE SCIlEDULE BELOII
~.7;C*i~)iS5"~L;:o~g*G A.
j/'.LF.GAL...DESCIUP"rI9N
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.12z,kO~~PTION '.WYU/?ak(yy?
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Permits are non-transferable alld expire
if uo.k is nor sra.ted ~ithin 180 days
of issuance o. if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractoJ!tuJ'Jirok~~c
Address/f"dO ;f/~ 4r-f'/4 tZee
Ci rylk./hA()f(} Phone~-hfrf'- /900
,;2//35
Expirarion Date /'~O~O/
Const" Conn. Number 4/JP6f
Jj /29 /rJ (
/
Signature of Supervising Electrician
k?'~..~......?/1 W~/.
Ovners Name NOi.~ ~41' ~)~
Address 666 It s.t- S:,~
Ci ty Sp ~I j, Phonp. 71-/+,. q 9?(
01lNER INSTALLATION
Supervisor License Number
Expiration Date
The installarion is being made on
property I o~n ~hich is not Intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT #:
....n,..nT_1JT)1"\ T'lv.
Heu Residential-Single oc
Hulti-Family pee duelling
Service Included:
Items
1000 sq,ft. or less
Each additional 500
sq, It or portion
thereof
Each Hanuf'd Home o.
Hodula. Duelling
Service or Feeder
Services or Feeder$
IlIstallation. Alterations
or Relocation:
unit.
Cost
Sum
S 85.00
$ 15. 00
$ 40.00
200 amps or less S 50.00
201 amps to 400 amps S 60.00
401 amps to 600 amps $100,00
601 amps to 1000 amps $130,00
Over 1000 amps/volts ..._.- $300.00
Reconnect Only --, S /.0.00
C.
Tempo.ary Services or Feeders
Installation. Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over GOO amps or 1000 volts
ll.anch Circui ts
S 40.00
S 55.00
$ 80.00
see tlst,
above
Ne~, Alreration or Extension Per Panel
S 35,00
One Ci rcui t
Each Additional
Circuit or viti} S~lvlce
or Fccder Permit
E.
Hiscellaneous (Servjce/f~eder
-Each installation
Pu~p or irrigation
Sign/Outline Lighting--'
Limired Energy/Res
Limited EnergY/Comm ---L-
5. SunTOTAL or ABOVE
...,~ Srate Surcharge
-r'!~ TOTAl.
S 2.00
not included)
S 40,00
S 40.00
S 20.00
S 36.00 ;3(0.00
30,()O
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