HomeMy WebLinkAboutPermit Electrical 2000-11-8
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fOllOW rUle. d - -~ , -'. _ DATE :NDV 08 2000
'\fDtificatjonC:nl~teroOY~hE Greoor ',. AMT RECD:2 $ 49.50
ro OAR ." has u'.
0090 y,952'OOl-0010thro~ru~eO~d/E$el..r, CHANGE:
cailin au may obtain COpjg. afAR 952'0, CASHIER: Q59
225 FIFTH STREET nurnbe~th~~:nte' (Note fhl' r}~~,LECTIuCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 The fOIlOY'!~9 ~role8l8S,.'l\!'9!'1i)t,~~,~~~ ,the tollowl~g '.
INSPECTION REQUEST: 726-;31li~ng, an~rdoes not require ,speClhcllai&~.:Job Number ()o- 008'16 -0 I
OFFICE: 726-3759 .' approvaL " ,
Zoning t...(')':>.....~' .. --:13 FllB SCHEDULE BELOY
1. LOCATION OF INSTALLATICWatl 11- ~ ~ .
Iq JJ72. J..Om On d.:' ' A. w Residential-Single or
AutnOrlZeo ;)lgmllUre 1'^,,:,,~-;:-cllu..L:;'i per dwelling
LEGAL DESCRIPTION NOT/CE' Service Included:
i::t-03"J..51d.. O{OT~,'~~_." Items' Cost Sum
'-' -, IIVII' "HALL EXPIRE IF T.u.,.,./ '"
'JOIl,DESCRIPTION AUTHOR/ZEOUNOERT 1000Q,q{ft. or less $ 85.00
A-,J d, l.' ~ CnMMi=.....,,...~ ~_ HIS PERfEa-cll raddi tional 500
. ' ':"v.,. :~,- v~"~f\cANOONEO::;CUil ft' or portion
PermIts are non-transferabieDand)rex~l~e tnereof $ 15.00
if work is not started within 180 days Each Manuf'd Home, or
of issuance or if work is suspended for Modular, 'Dwelling
180 days. Service or Feeder ,$ 40.00
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractorr.;/PMV A/('q (
Address...!:L7) 5 F D x;../o If Ot.V 12 J.
City ;;v~t'.- c'Jt Phone L/f)5"',;?if 72-
Supervisor License Number ->.~_L)7 f? S
Expiration Date
io - 22" 0 /
Constr Contr. Number Q.:?CJ53
Expiration Date 10-;; 0 - [} I
, S]tJ~e o~ S;n:1Electrician
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Owners Name pnv>
Address / '1 (p 2-
Ci ty <7,0 -{I oJ
OYNER INSTALLATION
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w ,', I,' 0v1.-{-1.5
Layno.., d_
Phone -=147- e..o9 /
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The installation is being made on
property I ,own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: 11, 'O'Oc.
RECEIPT 11: -f7; 40
RECEIVED BY: L..J.IS
,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
$ 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 liB" above
New, Alteration or Extension Per Panel
"
One Circuit $ 35,00 ;'5
Each Additional
Circuit or with Service
or Feeder Permit ,I) $ 2.00 IG
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
$
$
$
$
45
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