HomeMy WebLinkAboutPermit Electrical 2000-12-1
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225 FIFTH STREET Authorized Signature
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIgfION
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Permits are non-transferable and expire
if vork is not started vi thin 1BO days
of issuance or if vork is suspended for
1BO days.
2. CONTRACTOR INSTALLATION ONLY
Electric~l Contractor~tltiPJ1p. ~~/(J
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Address 1;;;;.0 fY!(JYJYlJO
Ci ty ~ U Ct~ Phone si.fi!-35(p/
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Supervisor License Number II?~~
Expiration Date IDlo/ /01
Constr Contr. Number ~ ~LJ;Z~[)
Expiration Date 0/;7/0/
. Signature of Supervising Electrician
C)1.~~
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Ovners Name t>~(
Address 1t./9r Le-;::I/vv-TVI'-/ IrV~
Ci t)t'U.&t?l/E. 97<{0!, Phone 7'17-'- '5: / {,b
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
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DATE:
RECEIPT 11:
RECEIVED BY:
54
.DATE:DEC 04 2000
AMT RECD:2 $ 63.80
CHANGE:
CASHIER 1061
ELECTRICAL PERHITAPPLICATION
Ci ty J~b Number QO ..::. a 17 / S -0 \
COMPLETE FEE SCHEDULE BELOV
3.
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. .Dvelling
Service or .Feeder
.B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to 600 amps
601 amps to. 1000 amps
Over 1000 amps/volts
Reconnect Only
$ B5.00
$ 15.00
.$ 40.00
$ 50.00 ;:;-0
$ 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
$ BO.OO
see "B" above
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circui t or vi th Servic~ JL
or Feeder Permi t iJ.., $ 2.00
$ 40.0Qc
$ 40.0~o;::
$ 20.0Q.:, =:;~
$ 36. 0Q!l ':: *
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= t-'C)
Fee.D ~.. .=,~ C)
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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
TOTAL
e
not included)
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