HomeMy WebLinkAboutPermit Electrical 2000-8-31
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".o60'~~"IJ. . ELECTRICAL PERHITAPPLICATION
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST:. 726-3769
OFFICE: 726-3759
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. I'V\...l..OB DESCRIlli~__ (t
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Permits are ~n-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
I I.-I' Installation, Alterations
Electrical Contractor r.;/~ /lJ1'..,~t--l-(',-or Relocation:
Address H 71 5
F'D 1. HtJ///J...., ~ J
Phone -.!i5f-5" ~72.
Number 3 57!? 5
Ci ty IE-" ~ Jt?~ f-
Supervisor License
Expiration Date
/0-0/-0/
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 93'153
Expiration Date /0' 2 Z-(;)o
Sign~Jt suP;;/;;;;tician
ow:er; Name~"'ll\t)
Address \p'\,p~..~r\...f'Q l.L""Yl. I
- hone"J1Jo'~
Cit
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT tI:
RECEIVED BY:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amI's to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00 ~
Reconnect Only $ 40.00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
40.00
40,00
20.00
36.00
$
$
$
$
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