HomeMy WebLinkAboutPermit Electrical 1999-9-15
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Ci ty Job Number "79/ o%i17
OFFICE: 726-3759
1.
LO~ATION OF INSTALLATION /9~/
.,:') 300 H R#'J ckr. <;CJn/ ;<..U.
LEGAL DESCRIPTION
--L$4;1,e::>-=32L:o . eJ.t::>bOC::>
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G JOB DESCRIPTIO!i,
e.ne.f'Cl.4-o'Y +t;rY 0..LL OiJ1l.UJu
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if, work is suspen-ded for
180 days. '
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor t?~~ ~J~'
Address /;;?O l?1anrtJe S+,
Ci ty EUt::u~l1&
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Phone 3W-3,c;;;, L
Supervisor License Number /oq:;;l S'
Expiration Date
tv/; IrJ/
Constr Contr. Number C!c8 '10:;;'00
Expiration Date
3/17 lo'r
Signature of Supervising Electrician
rf' t~ ~/;/
o:ners ~ame Ga rV/ PapL
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Address ?~,"J3PX ~LP?
Ci ty EL.Y""~~~.Phone {,I~ ~~~O '
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OVNER INSTALLATIO~
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
---------------------------------------
DATE: q 00/-'2--'99
RECEIPT ~: '.?~
RECEIVED BY: '/~ 4~
///;
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
Sum
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
Reconnect Only
$ 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 "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
-L- $ 35,00 3500
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$
2,00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 35. 00
1Y. State Surcharge ,.:) .1../''2
3% Administrative Fee _t. P. S-
TOTAL . :? R', 5 0