HomeMy WebLinkAboutPermit Electrical 2000-10-18
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Authorized Signaturp
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTp.LLATION /I
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LEGAL DESCRIPTION
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JOB DESCRIPTION /
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Permits 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 con'tractor{J"lIry,!ir~.l ~,ln.-IY'OfllU-
Address P. [). fho~ 1/0.5<./ 'if
Ci ty y, 11 q (fu Phone
Supervisor License Number
6'11''-f'ii<l-90:;'(j
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Expiration Date
I DI (n..
Constr Contr. Number /i./t./u~5
Expiration Date ~</
SidWd: ?li;r;~ E~ctrician "
""VV' - D.
Owners NamellnrOfl'" Y IO~?I'/J/}j/IL
Address ---Lq",I) a flni'f/} A v't.
City....i..u1//./J Phone LJ<lI-QYi/-12iP7-rO
mINER INSTALLATION
The installation is being made on
property I ,own which is not intended
for sale, lease or rent.
Owners Signature:
-
--------I--~---------------
DATE:. (0 h?fhc:>
RECEIPT II: I / .5J1 ~
RECEIVED BY: ,r....a
ELECTRICAL PERKITAPPLICATION
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Ci ty Job Number (")0 - 0 (S6Z "~ I
3.
COMPLETE FEE SCHEDULE BELOV ~
New Residential-Single or .
Multi-Family per dwelling unit.
Service Included: .
Items' "., ,Cost Sum
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. Dwelling
Service or Feeder
$ 85.00
$ 15.00
. $ 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 "B" above
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res --1--
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.0~
$ 20. otTi ~ZJ
$ 36.0~M~ .
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