HomeMy WebLinkAboutPermit Electrical 2000-9-6 (2)
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 l
INSPECTION REQUEST: 726-3769 City Job Number (,)O-0rfJ56- 0 '.
OFFICE: 726-3759
1.
LOCATION OF INSTALLA:.tIO~ _ r [
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LEGAL DESc;lU;FT.ION
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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. 5e-!C .I~"..
. ~.
~ L/(....(')~ ~4-5P.e~ /
City ~lc.J.
Phone
Supervisor
e Number
/
Expiration Date
Constr Contr. Number ~
Expiration Date / ~
. Signature o'f 7Sing ElectriC~
Owners Name \6'-(, H-e tot~" 0esoJ
Lf. ('-l<;' S 450~ rcaJ.
")o.f-1.d ' Phone 7'1/:-75-<67,
Address
City
OWER INSTALLATION
The installation is being made on
property I .own which is not intended
for sale, lease or rent.
::::~~~~---------------
DATE: ~ (!) 906
RECEIPT 11:
RECEIVED BY: :1'\1<.
3. COMPLETE FEE SCHEDULE BELOII
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amI's 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
."
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder'Permit 1
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 n
$ 2.00 ":J-
not included)
$
$
$
$
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'10, "to
40.00
40.00
20.00
36.00