HomeMy WebLinkAboutPermit Electrical 2000-10-9
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The following project 85 submitted has the followin
zoning. and does not require spepific land use
approval.
Zoning
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974 Tf.uthorized Signature cJ<"
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATIjJN '\
~ '/ ,5' M 1\-1 '" :5'.,-e.er;..,.. (5f\H;WllV)
LEGAL DESCRIPTION
i702-33'1L
t<) s'Saa
JOB DEJi.CRIPTION
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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 ~"'TbJ4eR.{;"L~<:"'Tel~ .
Address I~C 4- 6~ Cc.{''''C-D
City \\.t! II kJiWi!/lT
Phone503-~2-b~DO
Supervisor License Number 349(;, <:
Expiration Date JDlv,kl
Cons t r Con t r. Number 44f3l. '3
Expiration Date 03 [20 /02-
Si;:1~~erv~~ec~rician
Owners Name SJlt F{F' t-/ ;:J.f
Address 5 'II:; MM It! SI
City Se;::.O Phone ,---
OVNER INSTALLATION
The installation is being made on
property I'own which is not intended
for sale, lease or rent.
Owners Signature:
: DATE: /OD '700 '
~ .'..........-..:. --
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~ ' RECEIVEILBY:--'-__l:>~'
CC'-
~~~lnICAL PERMIT APPLICATION
City Job Number C}C> -0/5/0 -01
COMPLETE FEE SCHEDULE BELO\I *
New Residential-Single or
Multi-Family per dwelling unit.
Service Included: P'
Items Cost Sum
3.
A.
1000 sq.ft. or less
Each additional 500
sq. ft or .po~tion
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
$ 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 liB" above
.'
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
"77. State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$ 40.013 -f
$ 40.00x>:i>
$ 20. Gij rri;:;
I $~6.@6~b,o()
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