HomeMy WebLinkAboutPermit Electrical 2001-4-4
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AMT RECD:2 $ 55.00
CHANGE:
CASHIER:ODl
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L.f / If /2 00 (he following projecf 85 submitled has the following
. zoning. and does not require specific land use .
225 . FIFTH STREET approval / ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning - rJ
INSPECTION REQUEST: 726-3769te -"1- ~-rl ::~J J"b Number [) / OOO~3 0/
OFFICE: 726-3759 ~~
Authorized Signa lure .:I. COMPLETE FEE SCHEDULE BELOII
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LOCATIOji OF IJiNSTALLAT~ (
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. --:7LEGAL DESCRIPTION
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JOB DESCRII;fIO~ /
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Permits are non-transferable and expire
if vork is not started vithin 180 days
(,~ ,of issuance or if. vorkT,isjisyspended for
10110\1180 days. ' . 1",:::_-:;;:;; 39\ t~l1. .
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'n QI-\'3 :J~'~C.9~;r;O~'1~I~~~\MHPJ&.9t'Ly B.
0090\,rt':lel~r!{'C~1~o~t;act6f1k;JS-J~"'c.A'2J"'1 ~full.
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.'IJ"Add"reSS"O."1\:' '3"~44\1 vO 3 .
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City~A' . 'Phone' hllll .c;2]t-
Supervisor License Number 3l./<f 75
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Constr Contr. Number 7LJd'R9'
Expiration Date
Expiration Date/:2-/3o/0 ~
,Signature of Supervising Electrician
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ov:J~ Name ~ 0 11-2..1 J /JA rJ;,----L>
Address P' ti'i /I-]:I-f~A_~
Ci ty Q u- I/J p:one_7V/-f~/...i:
O\INER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or tent.
. O\lllers Signature:
DA~E~C)z;r~(5~-~C)7-----------------
RECEIPT 11: l4 (U.'" U
RECEIVED BY: n. f nat'!nt1l'l
A. New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each~t1,ap,uJ~:!.Home. or
Modular' 'Dwelling
Servi'i:eP5i'if\F,eede. 'EYo.".,,.. 'F,)SHE"O. 00
. _...,~ , WORK
AlITHORIZI=f) 1'~lncR TH . .-. .
Servi.c.es ,or Feeders IS PERMITlS NOT
Ins tl~1:1~at!i?n~Qirtera t:;rol!.sJNED FOR
or Relocag!?!':'PERIOD.
200 amps or less ---1- . $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to' 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 "B" above
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tiomi.l
Circuit or vith Service
or Feeder Permit
$ 35.00
S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited EnergyfRes $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE .'<:::0 . <YD
7% State Surcharge ~ G' .50
3% Administrative Fee I . ::> ~
TOTAL ~.c:,.5 . lJ 0