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HomeMy WebLinkAboutPermit Electrical 2000-6-8 225 FIFTlI STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ~~cP ~ 1. , !,OCATI!l!:I. O.LJNjTf\l,LATION lV <)( 3'lS n '0 0 1"\ ~~!:tIOn.~~,,~ ~~~~ \ ~()\11U Permits are non-t~nsferable 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~~ ~~~ Address/""99'"7b ~ LdA/~ City E.<<fPNe Phone.:.6P.b'-6Qc75' Supervisor License Number ~~~~ Expiration Date /6/// CJ/ , C. Constr Contr. Number S.t7/!/.;iJ/ Expira tion Da te c? /36/ tJt:J , ,. , Signature of~ising ~ician ~d/2 <<~. Owne~s . NameVxtb;>c1U.J~ 9 l\. 'NJ\d . ~ \'N\ lJ"\J . Ci Phone't4ln.,\S7 o STALLATION The installation is being made on property I own which is not intended for sale, lease or rent. !;OO:1J3IHS\!:J :39N\!H:J Owners Signature: OO'~~ $ l:a:J3~ lW\! OOOl 80 tlnr'::,:, \;,3 !;80l000-b~~~~[------------------------------ RECEtPT <<: RECEIVED BY: ELECTRICAL PERMIT APPLICATION City Job Number ()n. rfJ3?J16. 'OL COMPLETE FEE SCHEDULE BELOV New Residential-Single or. ~; " Multi-Family per dwelling uni ~ .. . Service Included: ~._5 Items Cost;' Sum 3. A. 1000 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 $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less I 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100u volts D. Branch Circuits $ 40.00 4D $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One \Circui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 no t included) Miscellaneous (Service/feeder -Each installation Pump oi irrig.tion Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 4{) .a? , .~ CY)