HomeMy WebLinkAboutPermit Electrical 2000-8-24
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spA FIELD
The. fOllowing project a .
zoning, and does not :esu~mltted has the following
appr I qUire specific la d
225 FIFTH STREET ova. . n ~CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning. L-bf2.. . "
INSPECTION REQUEST: 726.fll7.:69 <6-.)4-~ "'''f Job Number.(XJ -012 '12: -0 (
OFFICE: 726-3759 .. .
""l"anzed Signalure . COMPLETE "EE SCHEDULE BELOY
unit. . W
Items cost'Y
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
n ,I Installation, Alterations
. Electrical Contracto'l:, )''''ntib!tL 4,IU.JTnfli#,/rl.C-<Jr Relocation:
Address p. 0 eo i. t./On"''Ij' . 200 amps or less
/. 201 amps to 400 amps
Ci ty "(.1111 {'.IIJ Phone I-/'j;t./ -qO?( 401 amI's to. 600 amps
601 amps to 1000 amps
333/ J/I Over 1000 amps/volts
Reconnect Only
1.
LEGAL DESCRIFTION
7h <,:1, 'S'I3
'2-
JOB DESCRIPTION
~Pt.l1ril:t4 , \/nf.) QUe/If)
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
02(02-.
Supervisor
License Number
JDJ{)7.,
Expiration Date
Constr Contr, Number~
j I t./t./ /, K'-S
Addre~s
City
At)" 1-t./1/5
Phone 1-<11- '7hfnO
The installation is being made on
property I .own which is not intended
for sale, lease or rent.
Owners Signature:
DArn~---------og;Ey/-~-';-
RECEIPT II: 5<==> .<;-
RECEIVED BY: ""r<
. A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
$ 85.00
$ 15.00
. $ 40.00
$ 50.00
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. .Dwelling
Service or Feeder
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
.'
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limi ted E'nergy /Res ,.;-:/
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
J
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.0~ -<
$ 40.00...n--~
$ 20.0~~OU
$ ~.O~~'!'!' .
:J:> .. 0
'1. c.o NG1......
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