HomeMy WebLinkAboutPermit Electrical 2000-7-11
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. ,LOCATION OF INSTALLATION
50b C.&-NT~-NIl(Ii4l.-
LEGAL DESCRIPTION
1703 2-7Lfs
OLf{)OO
JOB DESCRIPTIO~ . r ^ "T7f
c.\ I2-C\A \ r .tcsr ~, e:::.
Permits are non-transferable and expire
if work is not st~rted within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY 'B.
Electrical Contractor E'tt.Qe/JeEledJ-IQ
'-.../
Address /~O 1?10f/JrCJ8
City EL,U:;f!:.,ne' Phone 3L/L/-3SI::>I
o
Supervisor License Number 109;:< S
Expiration Date /0/01 /01
Constr Contr. Number ece 902C!JC>
Expiration Date .3/;7/0/
Signature of Supervising Electrician
YJ1'P.~- ~
Owners Name
Address
City Phone'
OVNER INSTALLATION
The installation is being made on
property I o~n which is not intended
for sale, lease or rent..
Owners Signature:
DATE~---~;~~~--------------------
RECEIPT #: r I '2SZ-<g" ,
RECEIVED BY: JSB
~ELECTRICAL PERHITAPPLICATION
City Job NumberOO_OI0'57-:-'C)I
3. COMPLETE FEE SCHEDULE BELaY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cas t
Surri
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 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$1 40.00
$1 55.00
$1 80.00
see "B" above
D.
Branch Circuits
,.
New, Alteration or Extension Per' Panel
--L- $ 35.00
J s"'-
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$
2.00
E.
,
Miscellaneous (Service/feed~r
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.0~r-~::;::l
$ 20.00;o~;;;
$ 36. O@ fTl co
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