HomeMy WebLinkAboutPermit Electrical 2000-12-01CITY OF OREGON
zontng. and does not
approval
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225 FTTTB SIts,EET
SPRINGFTELD, oREGoN
INSPECf,ION REQIIEST:
OFPICE: 726-3759
ABDGrzElcI6Snature
1. IOCATION OP-\L/
IJGAL DESCRTPTION1O3\ SZI
JOB DESCRIPTION
OAG_Cr (Z n-
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.,ATION ONLY
Electricql Contracto r €r1
Address / 3'D r\oYlra€-
Ci ty LL (- phone3
Supervisor License Number /oq25
Expiration Date,ro/ar/at
Constr Contr. Number co6 ?azao
Expiration Date S/tZ,/o t
Signature of SuPervisi Electrician
22D€e*A
0vners Name TeF{-< *e1-,v
Address 5(7of t',
City . < f/:D Phone 7L/7 -oz6{
OIINER INSTALLATION
The installation is being made on
property I ovn vhiih is not intended
for sa1e, Iease or rent.
0sners Signature:
DATE:
The foltowing pro,ect as submitted has
require specific
the following
land use
SPT FTELD
amPs
0n1y
;trtrJJ
DfiTE:nt[ 04 1000
AllI RE[D: ? $ ]8. 50- IHANEE:
IASHIER
'il81
3
A
ELEqIRICAL PERHTT APPLICATION
City Job Nurnber OC - Ol ata-o (
COI{PI,ETB FEE SCEEDIILE BELOII
Nev Residential-Sing1e or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home- or
Modular DveIIing
Service or Feeder
SumO-71oo
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps o
201 amps t
401 amps t
601 amps t
0ver 1000
Reconnect
ess
00 amps
000 amps
/volts
$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
rIo4o6o1
C
D
Temporary Services or Feeders
Installaiion, Alteration or Relocation
200 amps'"or less $ 19'00
over 4b1 to 600 amps -l $ 80.00
over 600 "*p" or-ibOO ,oTt" see I'8" aEF
Branch Ci rcui ts ; .'
Nev, Alteration or Extension Per Panel
-Each installation
Pumo or irrigation
i igi,zou t r ine- Li gh t ing-
Limited EnergY/Res
-
Limited EnergY/Comm
One Circuit I $ SS.OO 35'
Each AdditionalCircuit or vith Service
or Feeder Permit
-
$ 2'00
E. Miscellaneous (Service/feeder not included)
5)
5.,
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rtlff.Is-q-r !.mt:}11 u
oQ=0q
09,
0g
r.J
40
40
20
36
IO(3
L"I\0r.Jm
5
$
$
$
$
SUBTOTAL OF.ABOVE
7% State Surcharge
32 Administrative Fee
TOTALRECETVED
ZOIOO
$ 8s.00
$ 1s.00
. $ 40.00