HomeMy WebLinkAboutPermit Electrical 2000-11-14
The foll(lwif19 Dro;ec, as sub . .
Zo"ing ana aoes not re . mltted h.B.s the fOllowing
approval - qUire specIfiC land use
Zoninr' C!.e- ELECTRICAL PERMIT APPLICATION
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225 FIFTH STREET
SPRINGFIELD, OREGON 974b~le ~.
INSPECTION REQUEST: 726-3~bj
OFFICE: 726-3759 Autno"zea Slgnatu'e
1. LOCATION OF INSTALLATION \
39'7 S- ;?f,J(Lc.cu~ {2.,
LEGAL DESCRIPTION
/702ZCOc>
00700
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 ,B.
Electrical contractor~NS E/t.c../rl'LCo.
Address "j)"",-- A--
City h4-1\ Ci.ti.J:_ Phone~'U-1B1S
Supervisor License Number ~ 35'1-.5
Expiration Date 10/0 I (
/
Constr Contr. Number /tJ'2-3/1p
Expiration Date IOle,' '.
I
~ture of SU~rC:::ian
owner~Ltd.l r~-,,-k.
Address '3 '1 '7 S~ Il1;ftQ CoLA- 62il
City <;:;p~{\
Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-----~~-~~~~------------------
RECEIPT 11: "], 7}) I
,RECEIVED BY: fIo. Y1;
Ci!=y Job NumberQO -0021<1 -Cl (
*
~u~F~& FEE SCHEDULE BELOV
. A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
1~00 sq.ft. or less
Each additional 500
"sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
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
unit.
Items
Cost
Sum
$ 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
$ 40.00
$ 55.00
$ 80.00
see ttB" above
New, Alteration or Extension Per Panel
,"
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t (D $ 2.00 .2 0
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)
$ 40.00
$ 40.00
$ 20.0OD ,
$ 36.0<80::0
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