HomeMy WebLinkAboutPermit Electrical 2000-8-25
The followino nrnipC,t 8~ 5u!:1mitted h~.S the folloyting
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225 FIFTH STREET Dale ' 'g ~ J-S -OV \
SPRINGFIELD, OREGON 97477, ' .' 'r\;....)
INSPECTION REQUEST: 726''''37'(,9'0 ::""".'0'<
OFFICE: 726-3759
Signature of Supervising Electrician
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~ . ;/n NaM-an'"pi'il,Ws D.
Owners N".rne / / /t?t}O(? /) ('-':20 c;..t:;_
Address' t) ~-j'~{) Jhdu:<s~aP{)7
City (~~Phone~-!O/I
OYNER ~~TAL~TION
LA~l:?; ~od
LEGAL DE CRIPTION
170Z-Z ~OO OO'-(O(
. jJ9B DESCRIPJ't?~J /),.J
/Jill ~ t1r"../../) / ~ ( t!L~ff <)
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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 Philiris Electric. Inc.
Address 1 ?QA-1\pfoh,::.l nrhT,::lo
Ci ty EUQ'ene
Phone('i411 fiAR-filn
Supervisor License Number ?71q~
Expiration Date 10/01lOl
Constr Contr. Number 20-l7Qc
Expiration Date 10/01/00
The installation, is being made on
property I own which is not. intended
for sale, lease or rent.
owners Signature:
---------------------------------------
DATE:
RECEIPT II:
RECEIVED BY:
C>~ ZS"o Co
S6Z1
<.A:R'
3~CTRICAL PERMIT APPLICATION
City Job Number~o -01 SOO -0 r
3. COMPLETE FEE SCHEDULE BELOY
A. ,New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.f(.' or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling ,
Service or Feeder
, $ 85.00
$ 15.00
,$ 40.00
,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
$ 40.00
$ 55.00
$ 80.00
see nBtt above
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit ;'
Each Additional
Circuit or with Service
'or Feeder Permit /
~s:oo
$ 35.00
$ 2.00 01.00
E.
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
Sign/Outline Lighting-----
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
-$ 40.00
$ 20. 00:t>
$ 36.0~=:;:;
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