HomeMy WebLinkAboutPermit Electrical 2001-6-1
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST,: 726-3769
OFFICE: 726-3759,
1. LOC4TION OF INSTALLATION
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LEGAL DESCRIPTION
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JOBpESCRIPTION
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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 ONLYB.
Electrical Contractor ~~ ~
Address /CJ~z. ~ ,j; 0 - ,
City f(~ Phone 7,;1.9-/500
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Supervlsor License Number ~~~-~
Expiration Date /l/ o(
Constr Contr. Number b?-/~7 iSJ;~..
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Signature of Supervisin~ Electrician
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,Ovners Name AkC...e:: ,/049;-
Address t::, 4' tJ / ~A-?A)
City S~.I"7) Phone~';" 7S~2.-
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Expiration Date
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease'or rent.
mo: ~3IHS\i8
: 39N\iH8 Ovners Signature:
OO'S $ ~
OO'OB $ 7:rT'1:N IIJH
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RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
City Job Number OO-O/Sj./-O/
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COMPLETE FEE SCHEDULE BELOII ~r
Nev Residential-Single or,
Multi-Family perdvelling uni t., "
Service Included: '
3.
, A.
Items
Cost
Su
1000 sq. ft. or less, $ 85.00
Each additional 500
sq. ~t or portion
thereof $ 15.00
Each Hanuf'd Home,or
Hodular'Ovelling
Service or Feeder -z., $ 40.00 1:Q.
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 ampsfvolts
Reconnect'Only
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over ;01 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00 -
$ 80.00 -
see "B" above
"
Nev, Alteration or Extension Per Panel
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5. SYBTOTAL OF ABOVE
7l7. State Surcharge
3Y. Administrative Fee
TOTAL
$ 35.00
$ 2.00
not include,
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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TRANS#:01-0005608
DATE:NAY 31 2001
ANT RECD:2 $ 80.00
2 $ 8.00
CHANGE:
CASHIER: 003