HomeMy WebLinkAboutPermit Electrical 2000-5-18
v
, 'tt d has the tollowmg
The following project as SUb";; :pecitic land use
zoning, and does not requlf
approval., C .C--
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~
Date
llJtHJr~ed Signature
726-3769
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if york is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
City Job Number q q ~OO9D+01
3. COMPLETE FEE SCHEDULE BELOII
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
It ems Cos t
Sum
$ 85.00
$ 15.00
.$ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
Installation, Alterations
Electrical Contractor -S"litfl.-8~1~, or Relo'cation:
THIS PERMIT SHALL EXPIRE IFTHE WORK
Address'). I ?O 1?0r:::--~ -?'\" ~"TI '''npr;DUNDEr:tO,QISa!J!!1sMoflcJ,,~~~
,.-" "-, u__ . 2~1 ,fmp~ to "4b'o amps
City ~v~,v e Phone tf-9:,-ervl~~OR ISftl0W;)fi,'jllf-Ct'bO'600 amps
, ., ..::lAN't 1.80 DAY PERIO[,~Ol amps to 1000 amps
Supervisor License Number ""/7--7~ Over 1000 amps/volts
Reconnect Only
Expiration Date 10 -0 \
Constr Contr. Number -r1'?"11
,
Expiration Date
'Z.- -Ol
Owners Name
Address
~
City Phone
O\INER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
volts see liB"
above
200 amps' 'or less
," , 201 'amps to 400 amps
Supervisi Electm:i!cian <.\11lln II008J'OverJ'40pQ\'o"600 amps
..--- 91')llrl~12} -')U} ~IONI "Over .600 'amps or 1000
_ .3' ,.~ ... J110 .:t8Ido:"1 tjlBll.( .\H,. ilIA .Iar .
fm,h?,,.,n 8'fOllOnn'D"'l1Br,anch;'<;;hC:Ul,' ts
N~8.!..12 ~elO,I -3S01..U Irtl,UCt~' iU!!t:':"I~Ii"
t111!~~?~,~~9~a~~~^QP~~~e!'r,Nl!teranon or Extension Per Panel
"
One Circuit --L-- $ 35.00 ~t?
Each Additional
Circuit or vith Serv~ce
or Feeder Permi t y-<6 $ 2.00 q h .DO
Miscellaneous (Service/feeder
,Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5:
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee,
TOTAL
not included)
, $ 40.0Jl,
$ 40.01:'li .....
$ 20.Qft,:5~
$ 36. C! f.l-i-
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