HomeMy WebLinkAboutPermit Electrical 2000-6-26
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225. FIFTH STREET,
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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., LEGAL DESCRIPTION /1'&" Z2~ 20-
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JOB DESCRIPTION
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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
F;lectrical Contractor;::::<;! A 9;". Aw~,f'\~
Address I~O O().~l>tt.h. e..-J.
CitYC:;~t...u ,O(.L Phone..Yfb~fh4Lo
Supervisor License Number ~'1 '1S(&'
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Expiration Date /2-/0 L
Constr Contr. Number /1I;J.8&>
Expiration Date_ /')'J-/O"/O I
Signature of Supervising Electrician
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Owners Name hx:xl r\a..\C..c2..12..
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Address lK'ro ~td 16r1Jc.L
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OWER INSTALLATION
The installation is being made on
property I own which is not. intended
~OO:~~!~s~~le, lease or rent.
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:a::J3~~rs Signature:
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DATE:
RECEIPT ,:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION,
City Job Numbed'{) .(()f:{?~~<S .~
3. COMPLETE FEE SCHEDULE BELO\I
New Residential-Single or
Multi-Family per dwelling unit.
Service Included: .
Items Cost
A.
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 ,
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00'
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over, 401 to 600 amps
Over 600 amps or 1000-vorts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting~ ~ 40.00 ~~
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE r::;&O'qg..
7% State Surcharge ~q.~o
3% Administrative Fee J{.'WJ
TOTAL ~/D'OO