HomeMy WebLinkAboutPermit Electrical 2000-7-19
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225 FIFTH STREET ",\,,0\0\\0~,,0 ooos" LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 2~~~
INSPECTION REQUEST: ~g'-37~i"9 ...- l?j~ity Job NumberUO -0 !13l.f -0 (
OFFICE: 726-3759
O~IO ,..111'0 3. COMPLETE FEE SCHEDULE BELOI/
1. LOCATION OF INSTALLATI~o S,g"
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LEGAL DESCRIPTION 1703 Z- 7,0
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JOB DESCRIPTIpN
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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 i..jf< #JIl(t.,~ e(r;;c:r-
,I.
Address 4~"t,
Ci ty <; fFiII
s'(
c;ffE-Ll/';;~
,
Phone 7 1./- OT II
Supervisor License Number ~<!t'2l" ,.<;
Expiration Date /v-/":Ol
Constr Contr. Number Df Y3~
Expiration Date t - 8'- 0-(
Signature of Supervising Electrician
fi,. e'l '-- -
Owners na~Qr;^ r XC.lrL L
Address l?,bD LA-<,\rA- st
Ci ty 5P" v.-",-!-/~tJ Phone 7'-( 7 -7 b3 Z.
,
OI/NER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE~'------o;7z~70-0----------------
RECEIPT #: / I U:>37
RECEIVED BY: '~~
, A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
,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
It ems
uni t.
Cost
Sum
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00 IZo
$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 100u
$ 40.00
$ 55.00
$ 80.00
volts see tIB" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
"
One Circuit $ 35.00
Each Additional
Ci rcui t or wi th Service., L /1'0
or Feeder Permit ~ $ 2.00 ~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
tfJ'1o~ State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00'.'
$ 40.10
$ 20."0t6;;::
$ :nnD:J.;
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