HomeMy WebLinkAboutPermit Electrical 1999-8-5
The following project as submitted has the following
lonlng, and does not require specific land use
approval.
Zoning
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Dete
225 FIFTH STREET
SPRINGFIELD, ORE~6Mlh ' :':
INSPECTION REQUE . z6.:3769' ./
OFFICE: 726-37 Q ~
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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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.
2. CONTRACTOR INSTALLATION ONLY
,
Electrical contractor~ t:(Q~i~
Address ~?Jl&D ()). 1Jil!lft1~
Ci ty U- f31J(j ( Phone'R5- Zf./..IO
Supervisor License Number ,1.JJIL/. <)
Da te 10/1 /00
Expiration
Constr Contr. Number GoLo~CfCJ
Expiration Date
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Sign~ure of,super~Elec~rician
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O"ne.~.._me-t'(1 \ev l~ rY\C"\b~ I", ~
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Phone 1).,,1.1 - L'i/t:,~
Address \ \ ?-O
City~
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OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
-------~-----------------------------
DATE: \2>-5'- qq
RECEIPT It: ()'<.S II.
RECEIVED BY: h ~ {Y\ o..cl-\ 0. rL"
ELECTRICAL PERHI~PLICATION
City Job Number U( g I () f I
3. COMPLETE FEE SCHEDULE BELOl/
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cas t
Sum
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
,$ 40.00
,B.
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
Re20nnec (' Only
$ 50.00 60 ,C5iJ
$ 60.00
$100.00
$130.00
$300.00
S 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
$ 40.00
S 55.00
S 80.00
see flBIl above
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$
\(5V
2 . 00 d-
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5. SYBTOTAL OF ABOVE
)i->% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
$ 40.00
S 20.00
$ 36,00
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