HomeMy WebLinkAboutPermit Electrical 2000-7-18
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Date g OrL 0 u'll'LECTRICAL PERMIT APPLICATION
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726-37i:'9 Slgnalur. 'ty Job Numberf')O-OI/ / {., --0 I
FEE SCHEDULE BELOV
225 FIFTH STREET
SPRINGFIELD. OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
~4qX' 00<',1<< '5 Dr A.
LEGAL J;lESCRlPT,ION IEOZ.of,2.1
;1- h riHI C h c..J t-r D5 bOe...
JOB DESCRIPTION
/J I d!. ,..
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180. days. O(}l.{'lf:(
2. CONTRACTOR INSTALLATION ONLY
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Electrical Contractor-X-8 F/~N.r,/,-r"c.
Address 'fo C. t::j fA} !}:tb -iP I X
City~, Phone t, ~7e;770
Supervisor License Number "3 <;(7:::1':;
Expiration Date l~y{,'l
,
Constr Contr. Number-3.:7';S<'7 ~
Expiration Date (~V;::>o1
,
Signatu~o~Sing Electr~
Ovners UmeJVI,-/bq P,'.,.p,-...-
Address----S""...... P
Ci ty 'PhoneJ '3(.:' /4<;(3
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 07
RECEIPT 1I:
RECEIVED BY:
(~ 00
U,o~
~
New Residential-Single or
Multi-Family ,per dvelling unit.
Service Included:
Sum
It ems Cos t
10.0.0. sq.ft. or less
Each additional 50.0
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
,B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 am~s to' 1000 ~mps
Over 1000 amps/volts
Reconnect' Only
$ 85.0.0
$ 15.0.0
,$ 40.00
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40,00
C,
Temporary Services or Feeders
Installation, Alteration or Relocation
20.0 amps,oor less $ 40.0.0
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 60.0 amps OJ: 10.00 volts see "B" above
D.
Branch Circuits
"
Panel
Ne~, Alteration or
Extension Per
i
$ 35.00
L
One ~Circui t
Each Additional
Citcuit or vith Service
or,Feeder Permit i
,
.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
"1% State Surcharge
~% Administrative Fee
TOTAJ,.
$
2.0.0.
:)..........
not included)
$ 40..00 _
$ 40.0.0 _
$ ~0.0--i_
$ 30'.~_
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