HomeMy WebLinkAboutPermit Electrical 2000-7-25
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approval. L'
Zoning /..A. I
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Date
AuthoTlzeo Signature
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: ,726-3759
,
LOCATION OF INSTALLATION )
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LEG~ DESCRIPTION I
[70'5 3422. 00 ?,exd
JOB DESCRIPTION
Ilr ....L./ ('~ <;--1-,
Permits are non-transferable and expire
if work is not started within 180 days
of issuance o. if work is suspenped for
180 days.' I b05
1.
'ELECTRICAL PERMIT APPLICATION
City Job Number 00-0 1/5'-( -0 I
COHPLETE FEE SCHEDULE BELOV
3.
A. New Residential-Single or
Hulti-Family,per dwelling unit.
Se.vice Included:
2. CONTRACTOR INSTALLATION ONLY
.1
Electrical Contractor T8. J'4-tV~Il""I'1nc,
Address.Ji"a...t.C; 1./.. U 2h ~''5<
City /'.,," Phone_L.q:7lj'77~
,
Supet"Vlsor License Number "3 ~7:1. "')
Expiration Date l~o~1
Constr Cont., Number ~ 7e;<;(7~
Expiration Date 1%0,/)
,
Signature .~ ~ Elect~an
Owners N~..,Lb... <.m~ Suppl......,
Address S__ p "
City ~ 6-t:7I/r:.r 'Phone 7Lft.{;../:bc;{;,
OlINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
DATE;-------~-~~~~~-------------
RECEIPT #: / .f~h-'('
RECEIVED BY: i'\ f"(
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodular'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
Reconnec t ' Only
Items Cos t
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
5fL
C.
Temporary Services or Feeders
Installation, Alt,eration 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
$ 60.00
see uBtI above
"
Nev, Alteration or Extension Per Panel
One ~Circui t
Each Addi tional
C~tcuit or vit~ serv:!L'-c
or'Feeder Permlt $
, '
I
His6ellaneous (Service/feeder
-Each ins'talla tion
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
'Pr. State Surcharge
3r. Administrative Fee
TOTAL
$ 35.00
2.00
'7?-
not included)
$ 40.00
$ 40.00
$ 20~0 _,
fit
;Ii 5l~11
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