HomeMy WebLinkAboutPermit Electrical 2001-3-28
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
L~AT:r9~ OF INSTALJ..f>tION
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LEGAL DESCRIPTION
I ~O:2. At? 2-2-
.
JOB DESCRIPTION
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Permits are non_transfe=able anc expire
if vorlt is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. COl'o.'TRACTOR INSTALLATION ONLY
Electrical Contractor (:i,(2.JL.f1.t7J7lr(-c.....
Address \If=rn f.::>-~O If9An LAI'LL,
Ci tY.$)kO Phone rQ(.:, ~ ~0() I
supervisrlr License Number 3 </23 )"
Expiratior, Date / t/ / () I j' 0/ .
Constr Contr. Nur.ober lj do-C;C;/7 (.
Expiration Date lO;!f);:(
.
Signature of supervising,Electrician
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Ovners Name~;'("',^ ~<()'o\()_'\
Address ~oql /-ors\,t.h ~D..
I
Ci ty~I:::L 0 Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not inteuded
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED 8Y:
TRANS#:6l-0004785
DBTE:MAR 28 2001
AMT RECD:2 $ 40.70
ELECTRICAL PERMIT APPLICATION CHANGE:
. ': CASHIER: 003
City J~b Number 1?,/_~f}2-'7S--a;:..
COMPLETE FEE SCHEDULE BELOV
3.
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular,.Dvelling'
Service or Feeder
Items
I
I
,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 amps
Over 1000 ampslvolts .
Reconnect Only
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
S 60.00
S100.00
$130.00
$300,00
S 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocatiou
200 amps"o1: less
201 arr.pS to 400arnpS
Over 401 to 600 amps
Over 600 amps or 1000 vo!ts
D.
Branch Circuits
Nev, Alteration or Extension Per ?aDel
S 35.00 :$../
One Ci rcui t \
Each Addi tional
Ci~cuit or vith Service
or Feeder Permit \
E.
Miscellaneous (Service/feeder
-Each iDstallation '
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
7% State surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
S 80.00
see \lBll abOVE
.'
$ 2.00 d-
not inclue
$ 40,00
$ 40.00
S 20.00
S.36.00
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