HomeMy WebLinkAboutPermit Electrical 2000-9-20
The following project 85 submitted h~.S the following
zoning, and does not require specIfic land use
approval. (!...~
Zoning
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3.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 7l!l\lBJ769
OFFICE: 726-3759 Authorized Signature
1. LOCATION OF INSTALLATION d
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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ZLECTRICAL PERKIT APPLICATION
. . .
. .
City Job Number 00-0 J '-125--0 ('
COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorED.~ <:"r~frQLJs
Address ?...o S 'T ro..H<. k 4'
Ci ty. bv,w-.e", Phone .52..1- 2--c.f.s4
Supervisor License Number 2..1500 :JLE.
Expiration Date
to ' I '00
Constr Contr. Number {[lc~~2-
Expiration Date
~ ,LO ' oZ-
. ~:J-.IJ supervisi.:: Electrician
o:ers NameJ~g...~;of\.J. P~nr\ Gsi-
Address
City_<Pf4J
.54 (
Phone H+~OI2-3
OIlNER INSTALLATION
The installation is being made on
property I .own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
09200=
32.01
DATE:
RECEIPT #:
RECEIVED BY:
'l--./P"
Items' Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder . $ 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
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
J
$ 40.00
$ 40.0~ .....
$ 20.0()-l~;;12/
$ 36.0mM~
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