HomeMy WebLinkAboutPermit Electrical 2001-06-01a
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225 FIFTE STREET
SPRINGFfELD, OREGON 97 477 pare
Zoning
fNSPECTION REQUEST : 7.26-{"$3,,r"0 srsnarureOFPICEz 726-3759
1. LOCATION OF
Al.
INSTALLATI
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LEGAL DESCRIPTIONl7D33svt oozol
JOB DESCRTPTION
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Permits are non-transferable and expireif vork is not'started vithin 180 daysof issuance or if vork is suspended for
1.80 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
ci ty EwAenL Phone 344 -35b Io
Sup ervisor License Number IDqZS
Expiration Dare tO/or /ol
constr contr. Number ec$ qo20o
Expiration Date 3/rz/os
Signature of Supervising Electrician
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Ovners Nane Vo^^i t l,^l €7 Z€L
Address l r'7 /,/. tZ+L # r 1
Ci ty SPFD Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0nners Signature:
DATE:OLotol
t2 CAL PERHTT APPLICATION
Job Number O l-oO5,11-O I
COHPLETE FEE SCEEDTILE BELOV
Nev Residential-Single or
MuIti-Family per dvelling uni.t.
Service Included:
Items Cost
I
3
A
Sum
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Hodular Dvelling
Service or Feeder I
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amps
-40L amps to 600 amps
--601 amps to 1.000 amps-
Over 1000 amps/volts
-Reconnect 0n1y
s 1s.00
s 40.00 q'l'e
s 8s.00
B
s s0.00
s 60.00
s100.00
s130. 00
s300.00s 40.00
C Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less $ 40.00
201 amps to 400 amps
-
S 55.00
over 40L to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voEs see ttgtt .ffi
D. Branch Circuits
One Circuit S 35.00
Each Addi tionalCircuit or vith Serviceor Feeder Permit S 2.0O
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $
Sign/Out1ine Lighting- $Limited Energy/Res
-
$
Limi ted Energy/Comm S
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
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RECEIPT *' >b> C
RECEIVED B
Nev, Alteration or Extension Per Panel