HomeMy WebLinkAboutPermit Electrical 2000-3-29
, t submitted has the 0
The following prolec as 're specifiC land use
zoning, and does not reqUl
epproval. L-. \\ a..-
Zoning
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Date cKLJ
9~6\~Jiz.d Signalure
726-3769
225 FIFTH .STREET
SPRINGFIELD, OREGON
INSPECTION REQueST:
OFFICE: 726-3759
1. LOCATION O~ :WSTALLATION ........
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LEGAL DESCRIPTION
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. JOB DESC3I~IONc..,...
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Fermits are non-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
Electrical Contractor'BlfJNS f~lc.-
Address ;2../0 WA-LLlS :'i'f7(. #r_
Ci ty EV~6Vi Phone G:. '67-/~,;2.
SupeL'visor License Number .3 04 ,-....R
Expiration Date 10-1- rl 001
Constr Contr. Number 737hZ-
Expiration Date (, - ~- :LOOT[)
Signa~Z??Elect=
Owners Name ~~~.~M::.H'.o
Address 7"'~ .M~.::v-..e ~.~
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Ci ty ..s~ ,;r, . Phone ?':;>""'....~
O~ IN~TAtd.fr?? .'
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:_ .3, ~~;;:::?
Rr.-.t.J.r! fi: b~/.A ~
RECEIVED BY:' /7/.....-_
.~p .
DATE:MAR 29 2000
AMT RECD:2 $ 242.00
CHANGE:
CASHIER:004
ftLECTRICAL' PERMIT APPLICATION
City Job Number -9~..,o/Y<srr~/
3. COHPLETE FEE SCHEDULE BELOI/
A.
New Residential-Single or ~
Hul ti-Family per dwelling uni t. '.
Service Included: .
I terns Cos t' Sum
0/ $ 85.00 8L.
1000 sq,ft. or less
Each additional 500
sq. ft or portion
, thereof
Each Hanuf'd Home, or
Modular 'Dwelling
Service or Feeder
9
$ 15.00 J~
. $ 40.00
,B.
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
$ 50.00
$ 60,00
$100,00
$130.00
$300.00
$ 40.00
c.
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
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
,Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
~ State Surcharge
3% Administrative Fee
TOTAL
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