HomeMy WebLinkAboutPermit Electrical 2000-10-23
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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Authorized Signature
97477
726-3769
ELECTRICAL PERMIT APPLICATION
City Job Number ('")~:J- 0/ <:::;70 -Of
3. COMPLETE FEE SCHEDULE BELOY
1'7 LOCATIO~ OF IN0ALLATIOth.JI
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JiB I DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contractoJP)F I f {TP (0 ),TVlC.
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AddressUOloC:;/p). //~ #/X
Ci ty rl..ljf.n e. Phone k'X"? -1::)11.0
Supervisor License Number c3F:J-d. (~
Expiration Date i hl/ln/
, I I . C.
Constr Contr, Number ~+,S'87--c.,
Expiration Date_l()/~ /0'
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uperv'sing Electrician
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Owners Name&Oo/-- A'fa };f1flr
Address35~?;(')~.rn.f;/rt;, m ll'L, ,/
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0';lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: Ii)
RECEIPT #:
RECEIVED BY:
2-"3 0=
35S"I
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A, New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
Services or Feede~
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
Temporary Services oi-Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u
$ 40.00
$ 55.00
$ 80.00
volts see IIB11 above
D.
Branch Circuits
.'
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New, Alteration or Extension Per Panel
$ 35.00 ,:26.00
One Circuit
Each Additional
Circuit or with Servi~
or Feeder Permit r){
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting-----
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
2.00
4[J1)
not included)
$ 40.Cf9
$ 40. ~c .:iL-
$ 20.99=;~
$ 36. pgl':':l 'l'
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