HomeMy WebLinkAboutPermit Electrical 2000-11-28
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SPRINGFIELD
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r~e tolloWln r'
zO!"lng, and gd~eOJect as Submitted has
approval,' s not require speeif t,he fOl/Owing
Ie and use
Zonin9_ ~ <L ELECTRICAL PERMIT APPLICATION
11- Z<,< - "..
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477r:"e
726-3769
".....l.:l;Jrizea Signature ~'
-
.). <..6UP'R'1'E FEE SCHEDULE
City Job Number
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
E3ass;(';ft- +7J.'..,,'-!-uA.J.
(jo -0 I 'J33-0 (
BELOY
A. New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
JOB DESCRIPTION
/JOfH',_i ,. nS-rn.-./i
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
DBA
Electrical Contractor Philios Electri~ 11%
Address 1?qR ]<"1-],,,1 nr;""
Ci ty Eu!?ene
Phone~l hRR-h1?1
Supervisor License Number ?71q~
Expiration Date 10101/01
1000 sq.ff, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf ",d Home, or
Modular'D>lelling
Ser~ice or ~eeder
,B.
Services or Feeders
Installation, Alterations
or Relocation:
Items Cos t
Sum
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
$ 85,00
$ 15,00
,$ 40,00
$ 50.00'
S 60.00
$100,00
$130,00
$300,00
$ 40,00
Constr Contr, Number
26-34C
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
10-01-01
Signature of Supervising Electrician
). . '(,,..L--.
. '. .,. ;- ~athan Ph1HpS
Owners Name '17IlANiJ +uJ'w,11;./l (7,
, l'
Address
!6cd:., ~., L D
01
City
7,lq~
<Y,oBI,J
OIlNER INSTALLATION
Phone
The installation is being made on
property I own which is not,intended
for sale, lease or ren t, \
owners Signature:
---------------------------------------
DATE:
RECEIPT jf:
RECEIVED BY:
200 amps"oT less $ 40,00
201 amps to 400 amps $ 55,00
Over "01 to 600 amps $ 80,00
Over 600 amps or 1000 volts see "B" above
D,
Branch Circuits
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Ou tline Ligh ting
Limited Energy/Res
Limited Energy/Camm
One Circuit
Each Additional
Circuit or with Service
'or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
:po~ Q lq~\
$35,00
$ 2.00
no t included)
s "0.00
,$ 40,00
S 20,Og"
S 36.0~~,(J0
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om. 000
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