HomeMy WebLinkAboutPermit Electrical 2000-9-27
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225 FIFTH STREET ~DOI~;~al L-Q~ J
SPRINGFIELD, OREGON 9fJ 4 77 ZQ,OIog - ()'1)
INSPECTION REQUEST: 726-3/69 q-,:n~
OFFICE: 726-3759 Oal.-
thOrized Signature j.
1. LOCATION OF INS~LATION
/1/10 ;:/. ~ ~I'A' Xv?""> A.
LEGAL DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days,
ELECTRICAL PERMIT APPLICATION
- City Job Number ()O - D 1'1:) 3 - 01
COMPLETE FEE SCHEDULE BELOV ~
New Residential-Single or
Multi-Family per dvelling unit,
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
2, CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor SClni trol Secur i ty or Relocation:
Address P.O. Box 21009
Ci ty Euuene
Phone 461-5678
Supervisor License Number /6~!<'.+-
Expiration Date
Constr Contr, Number 65149
Expiration Date
6-28-00
Si~~~ Electrician
Ovners Name~(,J~ '-)~.
,;ddress-.Lf!jD ' ~..,.auIJc.(.J ~-
Ci ty '7JP..()( J() Phone 7t/1-'7;2. 75
OVNER INSTALLATION
The installation is being made on
property I oun uhich is not intended
for sale, lease or rent,
Ovners Signature:
---------------------------------------
0'7Z7o-D
.55/U
DATE:
RECEIPT ~:
RECEIVED BY:
<bJ.S.
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
Cost
Sum
$ 85.00
$ 15.00
S 40.00
S 50,00
S 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
S 40.00
S 55.00
S 80.00
see "B" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res ---1-
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
,% State Surcharge
3% Administrative Fee
TOTAL
S 35.00
$ 2.00
not included;
S 40,00
S 40.00
$ 20,!;/9 20-
S 36.tlijI35:i-
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