HomeMy WebLinkAboutPermit Electrical 2000-11-3
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SPRINGFIELD
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225 FIFTH STREET asn PUBI omoads aJ!nbaJ IOU saop pUB 'IlblB/t.!',,-,-CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974 776u!MOIIOI aul SBu pau!wqns sa loa!oJd 6u!MOIIOiaUl
INSPECTION REQUEST: 726-3769 City Job Number '7'7 -00 9''70 -0 I
OFFICE: 726-3759 *
3. COHPLETE FEE SCHEDULE BELO\l
1. LOCATION ~INSTALLATION
<~/,., /114,~J...->n:~" , A. NeIJ Residential-Single or
Multi-Family per dIJelling unit. ,
LEGAL DESCRIPTION Service Included:
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. 1 JOB DESCRIPTIq,N
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Permits are non-transferable and expire
if IJork is not started IJithin 180 days
of issuance or if IJork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~,tI~et::;;-c::ne,c
Address 1'304 (or;- a/.c<oo
Ci tym,L-.....,4-uK/c- Phone 5P3 '4f.z-~o
Supervisor License Number ~~,~
Expiration Date /~h./'/' f
Constr Contr, Number ~R~~
Expiration Date og,kpkz--
Signature of Supervising jflectrician
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OIJners Name SkR-rN"A--, -J-N{"
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Address 1(,3CYO S{S Ct/~l.;YN S)-
Ci tyCu.-.~s, Phone ::x>3 . 65"7- bl( 86
O\INER INSTALLATION
The installation is being made on
property I OIJn IJhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
I/O? 0 D
DATE:
RECEIPT 11:
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Items Cost Sum
1000 sq. ft. or less $ 85.00,
Each additional 500
sq. ft or portion
thereof $ 15.00
,Each Hanuf'd Home, or
Hodular'DlJelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to, 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
,"
NeIJ, 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 IJith Service
or Feeder Permit
E.
5_
SUBTOTAL OF ABOVE
~ State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
I
$ 40.<m: -i
$ 40.00':0$
$ 20.00:iTlt.:i
$ d6.diJ 5~'<<>
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