HomeMy WebLinkAboutPermit Electrical 2000-7-12
The following project as submitted has the following
lonmg, and does not require specific land use
approval .
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225 FIFTH STREET n, n 7 - I 2 - cf/)
SPRINGFIELD, OREGOr.9/411 v - \
INSPECTION REQUEST :,"th1Jll-6>G~~lure -I0-V
OFFICE: 726-3759
LOCATION OF INSTALLATION
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r/ LEGAL DESCRIPTION
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1.
J05, 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.
ELECTRICAL PERMIT APPLICATION
City Job Number()j 0 1070 0 \
3, COMPLETE FEE SCHEDULE BELOil
A, New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Hanuf'd Home, or
Modular 'Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
~ ,~Installation, Alterations
Electrical Contractor): S tI,..c6e./~ q t#I1Ce//.or Relocation:
Address(j. (J, 7Jo-< 2. (/83
CitYk<I"/lo.p~ Phone bJi.sl'ic/v
U
Supervisor License Number .7 'If? S
Expiration Date /c.)///(-,{)
,
Constr Conn, Number 7tJ,f,f'r
Expiration Date !..z.-/J()/tJO
Signature of Supervising Electrician
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Owners Name S'J,ve- L .PJVlrY\'/I5
Address Lj v'S 2.. JUSIC 1-1
Ci ty S; I, ~ Phone ? VY'- 71.J.J""
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OiINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------?7-------------------------------
DATE: I /' ()- - CJL)
RECEIP 1 ii: 25"3 7 '
RECEIVED BY: r ' dY)()..c..ha..cPo
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
$ 85.00
$ 15,00
,$ 40.00
$ 50.00
$ 60,00
$100,00
$130.00
$300.00
$ 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 nB" above
.'
New, Alteration or Extension Per Panel
One Circuit I
Each Additional
Circuit or with Service
or 'Feeder Permit
.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
$ 2,00
not included)
$ 40,00
$ 40,O!E --f
$ 20,Oo':i5:D
$ 36.C'!9lrM~
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