HomeMy WebLinkAboutPermit Electrical 2000-8-24
T~e fOllowing projects. s b '
zoning, ana does riot u .mltted h,B.s the fOl/owing
approval. rsqUlre specifIc landmCTRICAL
97477 Zonino <l- e.--- '
726-~ q;')..4- ':{J'O
Authorized Signature .~
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
A Ibe..dsuns rood,.... OfVl.'Y
PERMIT APPLICATION
l;HY' Job Numberr)O-Oj 2-.9,/-,.0 (
COMPLETE FEE SCHEDULE BELOY
,A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
JOB DESCRIPTION
A \ bLt-\--SUl'\. <:, ~ 5"" 0
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C "36'3 ~,'2-
Permits are non-transferable and expire
if ~ork is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Philip.s Ele~tric. Inc.
.DBA I EO:; ,
Address 1 ?QR l1",rn", 1 I)d"",
Ci ty Eu~ene
Phone(~41ry liRR-li171
Supervisor License Number ?71Q~
Expiration Date 10101/01
1000 sq.ff. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'D~elling ,
Service or Feeder
,B.
Services or Feeders
InstallatIon, Alterations
or Relocation:
Items Cos
$ 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
Constr Contr. Number 20-17g~
Expiration Date 10/01/00
, Signature Of~, rvis1,'ng Electrician
"IiI // -"
?' ' ,
, ...' J1( {~. v / Nathan Ph1..LlpS
O~ners Name rr vt:'(2../YAI5. '
. "
Address200C> JU'#cot../f
City qj7/~t:J phone201VJ?5'-b27S
OYNER INSTALLATION
The installation, is being made on
property I o~n ~hich is not,intended
for sale, lease or rent.
avners Signature:
-------------------------
DATE: D'r' Z'f 0 <=
RECEIPT 1I:
RECEIVED BY:
,>0/1
:b<<
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
200 amps' "OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see. "Bit above
,"
Ne~, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or with Service
'or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$ 40.00
oS 40.00
$ 20.0Dx,
$ 36.0~,.3:t:l!,~
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