HomeMy WebLinkAboutPermit Electrical 2000-6-26
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City Job Number_ 0(') {Y'A:"1"l.:Ol
Dille
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225 FIFTH STREET ~eO' s:
SPRINGFIELD, OREGON 97477 ~"iI~r.
INSPECTION REQUEST: 726-3769 e
OFFICE: 726-3759
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\ LEGAL D~S~ION I--..I~ r-.r--. .
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Permits are non-transferab~ and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for.
180 days. v
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractor~1 (ill 1SJn~.f(tcfL.C
Add ress ""yn ic:;<1 i2.MI.1L.bl4f.r1
'Sr~ U Phone JUl" 2. TZ L/
X Supervisor License Number 4 7). I 5
X Expiration Date /0 -I ~ D I
City
Constr Contr. Number 7()-L/47'c
Expiration Date
10-01-00
/\~DUc; supebS\~:~E.lli0ician
~ers Nam&fi lill
Address 3~~ lJ'2.f'<1 DC\ [\u
). - one 14-\. D2SQ
Cit
OVNER INSTALCATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
-------------e-------------------------
DATE: f). u.O()_
RECEI'PTl!:' r _~ r--J4-6\
RECEIVED BY: Ur'\
Ne Residential-Single or
Multi-Family per dvelling
Service Included:
1000 sQ.ft. or less
Each additional 500
sQ. ft or portion
thereof .
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
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
Items
\
:L
uni t.
Cost
Sum
$ 85.00
R~
I DE')
$ 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
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
S 2.00
not included)
S 40.00
S 40.00
S 20.00
S 36.00
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