HomeMy WebLinkAboutPermit Electrical 2000-7-12
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SP.GFIELD
The tollowing project as submittad has the following
zoning, and does not require specific land use
approval.. H0iL
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225 FIFTH STREET
SPRINGFIELD, OREGON 97479ate
INSPECTION REQUEST: 726Ai3lJlCW'ed Signatura
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
2JdA' S val'/... Clovtr LttJ,( L07J.y)
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LEGAL DESCRIPTION
1703 2243 OO~OO
JOB DESCRIPTION
/il11,=In1 (11r111 /<'/I'//,;-:I{(/jl/--; ,ry~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ID.ECTRICAL PERMIT APPLICATION
"';'Lj Job NumberOO-OI08'7';:O/
- . .
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling
Service Included:
It ems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
(\ I. Installation, Alterations
Electrical contracto~.J"\I'rsilJ;tl '{j le"lrlil~.llte.or Relocation:
Address P /J. fbD!I L//J'ii.-/K . 200 amps or less
f ' 201 amps to 400 amps
City I/AI;{ lJU-' Phone 5'f1-<l~"I-9678" 401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Supervisor License Number 53!! / J LE
Expiration Date /0/01.-
Constr Contr. Numben ILILI Ip l?6
Expirati n Datel (.t.f /)1.-/
g ,ectriC,ian
Owners Name {J hOfll'-1 ({U,;a.O(1 h/~L
Address 2.lI/LQ .l@.I.f-,L CJpvp,.- un.{ L{Wfl
City f,pr/~q/!;jd Phone 1-<l&-c('1-()?
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------------:,r-yTo- -------------------
DATE: 07/ I if.- OU
RECEIPT II: . i::.SLfC:;-
RECEIVED BY: JJ/l
unit.
Cost Sum
$ 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. 'or less
201 amps to 400 amps
Over 401 to 600 amps
-"., Over 600 amps or 1000 volts
D.
Branch Ci rcui ts
$ 40.00
$ 55.00
$ 80.00
see liB" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
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
$ 35.00
$ 2.00
not included)
$ 40.0.0..
$ 40.~c-'~
$ 20.0g.,~~
$ 36.~;;n~~ .(Jf)
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