HomeMy WebLinkAboutPermit Electrical 2000-9-13
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SPRINGFIELD
The following project as submifled has the following
zOOlng, and does not require specific land use
225 FIFTH STREET approval .0 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning LIJI-
INSPECTION REQUEST: 726-3769 Cf-/:?r trf)
OFFICE: 726-3759 Dafe - .
AoJtflonzea Signature _nJ ~
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
/7023532-
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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
Electrical contractor-:l/!!!I?JJ7Z)iJ RtcT
Address ~CJ - jZ,ery t!:iO 7V
City~- Phone 9s3-DDJ;l7
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Supervisor License Number ~ __~;(..
Expiration Date r& - (- m
Constr Contr. Number l(b~9
Expiration Date (ef) -('~OO
Signature of supervisi~e)an
ap'-//~Lf)~~ -
Owners Na~,^ ~VlOL-JN' ~
Address
City Phone
01lNER INSTALLATION
The installation is being made on
property I .own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: 09 { S 0 0
RECEIPT #:
RECEIVED BY: --h'R'
3Zl {
City Job Number Do .O! s15: 7 -0 I
~OM~~E FEE SCHEDULE BELOV
, A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
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
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Cost \. Sum
$ 85.00 ~
Items
$ 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' '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 "B" above
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New, 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 Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40. O~ ______
$ 20.0lT'~*1
$ 36.0mi=;:j~
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