HomeMy WebLinkAboutPermit Electrical 2000-1-5
SPRINGFIELD
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The tollowI09 prolect ~s :~U1re specIfIC land use
zonmg, and does nO r
approval (l Q..
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Date f1v1
9747ll.utnonzea Signature
726-3769
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225 FrITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTAL~TJONO .l\.
I / 17 ('b...../e.VIf;JI DJ-, ~
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rJ_ ~OB DESCRIPTI9~ It,
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PermIts are non-transferable and expIre
If work IS not started wIthIn 180 days
of Issuance Ot If work IS suspended for
180 days
2, CONTRACTOR INSTALLATION ONLY B.
ElectrIcal contractor~ S~~ IVlC.
Address(o:J~ S L(L( ~ S+
Cl ty S \( FL-3> Phone::J 'i,-/~(!j?
SuperVl ~rrr LIcense Number I '17f;5;€Z {-
ExpnatIOn Date /O~ /)(- 60
Constr Contr. Number_/OZ);Lg' 3-
Expnatlon Date /6 -01 - O~
SI~ature of SupervIsIng ElectrIcIan
\;:<~ . (C\.u~
Owners Name J=<M~\[) .s ~<- /11:3;11- D.
Address OCD tJ 3rQSf- / $ k(om ZIP 7MOJ...,
Cl ty ~fuJtJ tit, -P-pho~e ~ 17 - 'i/:>- 7W3
OVNER INSTALLATION
The InstallatIon IS beIng made on
property I own WhICh IS not Intended
for sale, lease or rent
Owners SIgnature:
~
DATE:
RECEIPT II:
RECEIVED BY:
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AMT RECD:2 $ 39.60
CHANGE
CASHIER: 003
B~CAL PERMIT APPLICATION
CI ty Job Number _7'5' -f') / .I/) s - !2L
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3. COMPLETE FEE SCHEDULE BELOV
A.
New ResIdentIal-SIngle or
MultI-FamIly per dwellIng
SerVIce Included:
unIt
Items
Cost
Sum
'-
1000 sq.ft or less
Each addItIonal 500
sq ft or port~on
thereof
Each Manuf'd Home or
Modular DwellIng
SerVIce or Feeder
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
$ 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 '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 "Bll al)'()"Ve
New, AlteratIon or ExtenSIon Per Panel
One Cl rcUIt
Each AddItIonal
CIrcuIt or WIth SerVIce
or Feeder PermIt
$ 35.00
$ 2.00
E. MIscellaneous (ServIce/feeder not Included)
-Each InstallatIon
Pump or IrrIgatIon $ 40.00
SIgn/OutlIne LIghtIng $ 40 00
LImIted Energy/Res $ 20.00
LImIted Energy/Comm L- $ 36.00 ~~~C9
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% AdmInIstratIve Fee
TOTAL
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