HomeMy WebLinkAboutPermit Electrical 2000-11-22
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SPRINGFIELD
J~' .'t:':"0;~I~lil.' J" ~i.:.n' vJCe':; uC("',.TnAJ.QIl,Qwing project as submitted has the folio
zoning, and does no1 require specific land us
approval.
Z. C!.~./
onlng
225 FIFTH STREET Date //- Z'2..~tJ'Z)
SPRINGFIELD, OREGON 97477 P'lllhorized 5'9 t
INSPECTION REQUEST: 726-3769 I na ur.
OFFICE: 726-3759
1.
LOCATIO!!JlB- INSTALLATION
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LEGAL DESCRIPTION
17033,'-1'-17,.
225 FIFTH STAEEI
SPRINGFIELD, OR 97477
(541) 726.3753
FAX (541) 726-3689
!,lLECTRICAL PERHIT APPUCATION
vi L:t ';ub Number DO - 0 I 70 ~ - 0 (
3. COKPLETE FEE SCHEDULE BELOII
()/ur/ &J-"...Jt
10300
JOB DESCRIPTION
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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 Contractor ADT Security Services
Address 4660 Main Street. Bld~ A. #100
City Sprin~field
Phone 736-4973
Supervisor License Number 853 JLE
Expirat'lon Date 1010IJ02
Constr Contr. Number 26209CLE
Expiration Date 10/01/01
Supervising Electrician
Si~:t~ of
p~
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OwnersName !JJrr/ /),40/',
Address q':J 1,/./, /?-Y;-},rp t.//
City Dt>yfpr 817 Phone Of7,7-3CfYO
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------------------------;;--~-----
DATE: II 2-Z (70
RECEIPT 11: "3 8 :r z.
l1",r"'TlTlm RV' 1'\1<'
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
$ 55.00
$ 80.00
see fiB" above
D.
Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. ~BTOTAL OF ABOVE
7 State Surcharge
% Administrative Fee
TOTAl.
not included)
:D
:3: -i
$ 40.00 ~55
$ 40.00 nrr~
$ 20.0(), ~;;
$ 36.0~ ~:='l
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