HomeMy WebLinkAboutPermit Electrical 2001-6-13
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DEVELOPMENT SERVICEii,Ii1If\f:A.llali:l0:nlnol require specl IC
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llil16i1tJled Signature
726-3769
225 FIFTH "L~L
SPRINGFIEID, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. .MlB..11.OB OF IN"STAI.T~TIpNrrtla,V? ~
_ ~.5~ mad) ~'tc OF!=rfP-j A.
LEGAL DESCRIPTION
I7C:>Z 330e:. 6,300
JOB DESCRIPTION j
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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. vu.,..<.ACTOR INSTALLATION ONLY
Electrical Contracton:.\G\e,BQG~f~L
Address \?-on ~~(\.J 0 (31")v"\ ((.),1[\ ~L
City_::bCL () Phone '.k2(n-G::no (
supervi~or License Number'<,t>:)~
Expiration Date to/O/ !n I
Constr Contr, Number:u)"'10'JL
Expiration Date /t)/tJ/ /D::;;Z
- Signature of Supervising Electrician
'ft~~':7
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Owners Name r~f' AY't l \) ~A '^-;\:l ~ '0
Address ?::<.. <:<6 rYI 1'1- i YI 2sh
Ci ty ~I () Phone r;t.(f)- 'R / Cj
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale; lease or rent.
OWners Signature:
DATE:
:RIlwu.r ,; .:
06/30 (
5' 9305
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3.
225 FtFTH STREET
SPRINGFIELD, OR ,,7177
(541) 726-3753
F:A.X (541) 726-3689
_, ELECTRICAL PERKIT APPLICATION
City Job Number 0/-00 boo ~O(
COMPLETE FEE Swuwu...R BELOV ~
New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq; f t .or less $ 85.00
Each additional 500
sq. ft or portion
,thereof $ 15.00
Each Manuf'd Home or
Modular Ovelling
Service or Feeder $ 40.00
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
$ 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
$ 40.00
$ 55.00
$ 80.00
volts see nBn above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit \
Each Additional
Circuit or with Service
or Feeder Permit
~/
$ 35.00 ~
$ 2.00
E.
Miscellaneous (Service/feeder not 'included)
-Each installation
Pump or irrigation
Sign/Outline Lighti~
Limited Energy/Res
Limited Energy/Comm
5.
$ 40.gg ,
$ 40'~b;i
$ 20.gg:::;r-
$ 36.~,:,:'s2
~ Cl,,-<.~
'L -..co
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- .l:1~, I-' 6
, 0
'\"'< oJ 0
" 01
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SUBTOTAL OF ABOVE
, 7% State Surcharge
,3% Administrative Fee