HomeMy WebLinkAboutPermit Electrical 2000-10-23
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DEVELOPMENT SERVICES DEPARTMENT
The following project8s submitted has the following
zoning, and does not require specific land use
, approval.
Zoning
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AM~2RItlM)r~ 5$'1119;"160
SPRINGFIELD, OFCRANGE:
(5f:!Atilfltff'l'959
FAX (541) 726-3689
~LECTRICAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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10 - V;--o"b
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726-3769 '
Aufhonzeo Slgnaturo
1.
LOChXION OF INSTALLATION
X-HL,CJTZ S'r\Y'S VEL.!
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTIQN
3032. GATB-tAy 5T
JOB DES~PTIqN (,
'P6S ethevY\<=\ c<ZlD II n<;'
97'-1-77
Permit~ 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 C Bf1 /N'--
M LK' JfZ &I
Phon~ 3 -23 9-57/0
Address'D3\ :5~
Ci ty -rt> r<rut-N 0
Supervisor License Number J 71(" j LE
Expiration Date /C>~~6:Z-
Constr Contr. Number ~ 2'-927 CLE
Expiration Date /6///61
signa~ of~?1sing Electrician
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Owners NameCfl.A.<'~ Do 0; , S{,Jl\P"'"
?-<-lll tJ,'/~ t:r
iSK'3 - ') (Yi
Address
Ci ty E "";yA--.9- Phone
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DA~~~---I-~f~r~~--------------------
RECEIPT #: :3SS-:r-
RECEIVED BY: wJ::>
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
00.>-00'15-::;.- 01
Items Cost
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 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
Each Additional
Circuit or with Service
or Feeder Permit
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 Fee
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
'J.[:; D~
:':'~d-
I,Oi?'
,Y--1.~
40.00
40.00
20.00
36.00
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