HomeMy WebLinkAboutPermit Electrical 2000-9-15
The following project as submitted has the followin
zoning, and does not require specific land use
approval., t.~
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Date
97477 . d S' t e
726_1'ft~lZe 'gna ur
1. LOCAT~ OR II;jST#~ION
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LEGAL QES~PTION
170_>$.5:> (
08 yo-O
JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ALl L;:- EiA
Address /~ f / / r-t /J //1/
ci ty ~,jP ./c,p Phone 7..2- t' ~7 0/
Supel'vlsnr License Number J (J';:"".J J
ExpiI'ation Date /{J///O/
Cons tr Con tr. Number :z..d.J ~ 2 C
Expiration Date /0///0/
Signature of Supervising ElectI'ician
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/if ~ ~ . ..----"
,
Ovners Name IN-'/t.l-- /*7f;;t"/J-J
Address
Ci ty
Phone5'C'J ell7JI7
O~R INSTALLATION
The installation is being ",ade on
property I ovn which is nct intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT U:
RECEIVED BY:
OY(5~O C>
$2Z-~
D~
3t:lfleTRICAL PERMIT APPLICATION
City Job Number DO ~ 0 I 3. "&f ~ 0 I
3. COMPLETE FEE SCHEDULE BELOV
A_ New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.!t. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
$ B5.00
$ 15.00
,$ 40.00
,B.
Services 0: 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"'o-r less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 v01ts
$,40.00
$ 55.00
$ BO.OO
see "B"- above
D. Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit j $ 35.00 lidO
Each Additional
Circuit or with Service
0: Feede: Permit $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
5_
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
S ~.OO
$ ~ r:9~
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