HomeMy WebLinkAboutPermit Electrical 2000-12-19
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SPRINQFIELD
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zomng. and does not require specific land use
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
974770818
726-3~1ll9',zed Signature
1.
LOCATION OF INSTALLA'I;ION
'59'1> /TJafrt.IJ/ A
170..=00
LEGAL DES,cRJPTJl>N
('.//11 d J
'KJ>
00700
/' .", /1 f~ r
,1011 DESl;RIPTION
L. m d.../ E/l'r'I'ill
Permits are non-transferable and expire
if york is not started vithin 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. Bld2 A. #100
City Sprinefield Phone 736-4973
Supervisor License Number ~y JLE
Expiration Date 10/01/02
Constr Contr. Number 26209CLE
Expiration Date 10/01/01
Signature of Supervising Electrician
('~
Ovners Namell, e- r ~ rf j 1, ~ --h-.a
Address .3 9'7) /rlMLLo(,tL.. I2d
City
5 f /.:: \~
-----
Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
'DATE:
A.t..\,,~J..:l' I:
RECEIVED BY:
121'70--=
"-'a
YCYi I
225 FIFTH STREEr
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
ZI.EC'RICAL PERKIT APPLICATION
"... LY Job Number (90 ~ 002., '-{ - 0 I
COMPLETE FEE SCHEDULE BELOII '*
Nev Residential-Single or
Mul t i-Family per dvelling uni 1. .
Service Included:
3.
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
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
Items
Cost
Sum
S 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 40.00
$ 55.00
$ 80.00
see "B" above
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
not included)
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$ 40. 00 ~ <:::l ::0
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$ 40. 00 ~ rt1 &.i
$ 20.0n c-J...,.
n l:g-h.
$ 36.0l26 ~:='l
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