HomeMy WebLinkAboutPermit Electrical 2000-1-14
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Th, .Inllnwlnp proiect as submittad has the fall
zCJrll(19 ano does not require specific land u
approval
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Zoning , I"
225 frITH STREET Date I - l'f - ~\ :cu:="AL P~IT APPUCATION
SPRINGFIELD, OREGON 9747J\uthorized Signature '1<l...J' , ' , , -"",',' '.
INSPEcrION REQ!m.g,,'~;,7(2.6;:n69.iiiii""!~~dMg,i,rt':i:~qjf~N"~Wr1J;['\1~~~01l:@.;~\~R%iO)I~~!i.';i~,
OFFICE: 7 26-3 ~?9~ -'~;' .tf:f.:~ ~/:~'~~~~~';'~l'::~'~' '\f'.~~;'~ ,;r~~~t;~~~1r.i :/ J; ;~1":t~~~J"'~~r~" i;:~...,..,..!!;t~j~(~'~'~t:ll . ~"~'~'~~.:~t!j~
1~,~f.:~~j~j.\j",.:,.,'\.)!'it';'JI'-" '~'.L"",-" rI;;lL.,;3:C.COIlPLETE;;FEE"SCBEDuE""BEl;OlI:c-.~ __~~:.r..__ .._
1. LOCATION OF INSTALLATION-
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LEGAL DESCRIPTION
JOB DESCRIPTION
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Permi~ non-transferable and expire
if ~ork is not started .ithin 180 days
of issuance or if ~ork is suspended for
180 days.
252
'000
.90
CHANGE:
CASHIER: 032
, A.
Ne. Resiaential-Sin&l~ c:
Hulti-Fam:ly per a.ell:n;
Sen'ice :;:nduded:
uni t.
Items
Cost
Sum
1000 sq.ft. or less
Each additignal 500__
sq. ft or portion
thereof
Each l1anuf' d Home, or
Ilodular .D~elling
Service or Feeder'
S 85.00
S 15.00
S 40.00
2. CONTRAcrOR INSTALLATION ONLY .B.
. Electrical cont["acto~~jlt"'r.~"'''I''&
-, .
Services or Feeders
Installation, Alterations
or .Reloca tion":
, ,A~dress~D ~!,~~I ,', ,:;,',o,.,,200aE'pcsor less '_~-: ,_,:-$,:50,00_" -,- >, , :1
~"." 'r',,:'.'"."--" co__. -" . -. ,.;. ."-,..' ,'. .:';",291:,amps'cto,.400,amps.,,", -0.",$.60.00"'_',-,=::":,::.,...,,,~
c~~:::,<,Ci -t~i.U:9.'1Clo~~,~~~m!!~t(li~"" "~~~; ~ i,4.Ql:,a~p.~, t~~600'~mps-:.:, "->:;$100;00,:',;, ,_,~:: ":':',~' . .,;
,~-,-,,,,,-,., , \ ".... .-,->.....,-...~,...'c'"...".__ ':601.amps'to,.1000'amps.....' '$130'00 .._ .... _",_'.._'_ '
.~-''''''/:..'- -:-.;::-':-..~~._-._.:..".' - - .~~;:-::-:- '-......,.. ~ .:;-'-.'.. ~:.~:;\;;-"'~;:~:"'- .............,.,.,.!-':'.'::~... ~. ':.: _ .' _~=,. _.:. ,-.: .~ .'. _. . _
4 >":._' . _ .
;-::''';;-;-i!Supervisor::Lid!ns-e:;NiiliibeF:T~;S' .c.., , ~:':'=:'="Over' 1000. amps/volts' '$300.00
,'-,. ,." , , , , Reconnect Only' S 40.00
Expiration Date' IO-r>1 ~Ol
Constr Contr. Number ~~-:;c I
'\ ",-
Expiration Date ~_ l'-' -0<:) '..
Sizn:fure of Supervis~ng Electrician
, 7r1-ekni4L') f9lf1.u
O'Wners Name ~'f'll..~~ .. "\ \ I'll c.\. .d ~ A.
Address
~':'
City
?hon~ '141..\ ~
OllNEP, ,INSTALLATION
The installation is being made on
property:;: o.n ~hich is not intended
for sale. lease or rent.
.pers :Signature:
DATE:
~r'!'i:
REW..u r.u BY:
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c. Temporary Services or Feeaers
Installation, Alteration or Relocation
200 amps' '01' less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 VO~ts
$ 40.00
S 55.00
$ 80.00
see "Eft above
D. Branch Circui ts
Nev, Alteration or Exte~sion Per Panel
One Ci:cui, J S 35.00 ~
Each Aaa it i onal
Cire!.:! t or .ith Servic~ ~..,.
or Feeder Permit ~ S 2.00
E. llisce1laneous (Service/feeder not included)
-Each installation
Pump 0: irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE ?q-
~%~Sta te Surcharge 'Oilw;a
c,3ilAdministrati've3Fee '1''7,
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