HomeMy WebLinkAboutPermit Electrical 2000-10-24
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: . ,',' The following project 8S submitted h~.S the to IOWln
, and does not require specific land use
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225 FIPTH STREET Dale ~
SPRINGFIELD, OREGON 97477 Autnorized Signature
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
, ,
City Job Number DO~ 01 ?LoO. 01'
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF ~~T~V'T!ON
1~CX)() tttn~O ST. A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
J8'"D36 '3>20 a-C)\ '1,0 Items Cost Sum
JOB D~~PTI9N 1000 sq.ft. or less $ 85.00
EiPJ.:- 'SutYl"\~,,)ICXI CS'lSTf-rOlOSTo...LLEach addi tional 500
sq. ft'or port~on
Permits are non-transferable and expire thereof $ 15.00
if work is not started within 180 days Each Manuf'd Home, or
of issuance or if work is suspended for Modular 'Dwelling
180 days. Service or Feeder ,$ 40.00
2. CONTRACTOR INSTALLATION ONLY ~IDI:.;B.
nD-TI ora..L- r f'.o
Electrical Contractor-\- 'St-LtJ~IT""
Address'1. '?ll W. e:,-t-\'\ tl.vE-i\0E-
Ci ty f-LX.,..F-(\ E:- Phone~ I. Lj~?:rtd9
Supervisor License Number 71 o~t T
Expiration Date L 0/ D?-
Constr Contr. Number'l "':1'1loLP~
Expiration Date I 0/01
, Signature of Supervising Electrician
'-7t"d.Z/ -
/v U
~ners Name F-c:lP\I..0F:-ST STF:-f:-l..-
Address Po PJo)l. ~~9
City c-ul::r-cf\E- Phone Lo~lo.'LaX)
OVNER INSTALLATION
The installation is being made on
property I own'which is not intended
for sale, lease or rent.
Owners Signature:
--------------~--Jr-------------------
DATE: }0/2'-1/(;-O
RECEIPT .:
"'J:>r.s.
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
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00 ,
see "B" above
New, Alteration or Extension Per Panel
"
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
""^....,.
not included)
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$ 40.-0\:15 ~
$ 40.~~
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