HomeMy WebLinkAboutPermit Electrical 2001-1-18
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SPRINGFIELD
65
01
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225 FIFTH SiltJJGE:
SPRINGFIELDr€8 ,7059
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FAX (541) 726.3689
~tEe'l.'R.ICAL PERMIT APPUCATION
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lonlng and d~,:~e~~~s SU~mitted has rhe fOllow;
approval. reqUIre specific land use
Zoning C!..c-
Dat. /- ('0 -0 (
97477
726_)1g~izeo Signelure Q{..J
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION 9i) INSTALLATION
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LEGAL D~SCRIPTION --?
I TO d.;) OGG - ~
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days,
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor ADT Security Services
Address 4660 Main Street. B1d~ A. #100
City Sorin~field
Phone 736-4973
Supervisor License Number 853 JLE
Expirat'ion Date 10/01102
Constr Contr, Number 26209CLE
Expiration Date 10/01/01
Signature of Supervising Electrician
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Oyners Name Co '" ~ r......(
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Address fnn;- ,/77 ~tZ Q I..
City Phone
OWNER INSTALLATION
The installation is being made on
property 'I oyn yhich is not intended
for sale, lease or rent.
Owners Signature:
DATE: l- \ I{ - 00
RECEIPT 11: L{2'f:5
RECEIVED BY: \ ~ .b----
"1,.,1000 sq. ft. or less
"'Eal::!1fadditional 500
THiS.sg"t ft .or portion
>-_" Ifl/-r- $
AI'~ ,.t,~ereof.HALl El(PIP ._
.- fEach?IMJlt!NJ";,!I,,!!.omeforTHEWOR'
c...,. 'iiliModular Dyellii1gpr-R" K
-. 'VC'" )~"~ <:c, IVlITtSN
",_ Y 18Service 'or.}FeederN 0"'$
ULJAYPERlOD -. "'o.JU Eut-OR
B. Services or Feeders
Installation, Alterations
or Relocation:
City Job Number
3. COMPLETE FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dyelling
Service Included:
OI-065Q6- 01
Items
unit. ~
cos~m
S 85.00
15.00
40.00
200 amps or less S 50.00
201 amps to 400 amps S 60.00
401 amps to 600 amps S100.00
601 amps to 1000 amps, ..,'r "OL'S,pO.OO
Over 1000 amps/vol rS~)r-i .ro~'f 't.$300. 00
Reconnec t Only' '" "8< .". . '" ISt)40. 00
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Temporary Servicesl or, .Feeaersit_
Installation, Altera ti8f}rob~Reloca tion
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200 amps or less qjfl"otificatio,$ 40.00
201 amps to 400 amps -,' i. $ 55.00
Over 401 to 600 amps S 80.00
Over 600 amps or 1000 volts see "B" above
C.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 2.00
not included)
I
I
S 40.00
$ 40.00
$ 20.00
S 36.00
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