HomeMy WebLinkAboutPermit Electrical 2000-8-18
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Date
Authorized Signature,
97477
726-3769
1. LOCATION .OF INSTALLATION / A/J
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LEGAL DESCRIPTION
1'1 01- ~~ <.J.?_ 1}:;~6'O
......... J9B DESCRI~ ..c.I
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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 ONLY
Electrical contracto~~ ~
Address f7. o. ~ :LfJb if .
Ci tyT- Ii rPL. Phone) If;}.. -/7(,~
? Supel'visor License Number fin ~ f..fr
7 Expiration Date 10 If / 'J.(J 00
I
~ Cons t r Con t L Numbe r to- C{ (p I f(
7 Expiration Date 1"/( /.U)()D
{ ,
Signature ~f Supervi~ing Ele!)trici~~
;7. ~--~ '5C?o '3-X;-&'
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Ov~ers Nam/. ~~~ ~
Address .i~l ! .
Ci ty ,( ) j}~ Phone .
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or ren t,
O'.rncri'.o,
BY:
r}<..J
. DATE:
AMT RECD:2 $ 132.00
CHANGE:
CASHIER: 0,32
~LECTRICAL PERMIT APPLICATION
City Job Number 19-'O-ooq7~-iJI1 02-
COMPLETE FEE SCllEDULE BELOV ?Jf
Nev Residential-Single or
""w-".n, ,.~ '".,n", ""n. .~,'
Service Included:
3_
A,
1000 sq.ft. or less
Each additional 500
sq. f t or portion
thereof
Each Manuf'd Home, or
Modular,'Dvelling'
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
Items
Cost
Sum
$ 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 Relo~ation
200 ,amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Ove~ 600 amps or 100u volts see "E" above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith'Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting .~
Limited Energy/Res
Limited Energy/Comm
5,
SUDTOTAL OF ADOVE
17. S ta te Surchaq,;e
~7. Admini~trative Fee
TOTAL
$ 35.00
$ 2,00
not included)
$
$
$
S
.$ I6.D. -
1;.0+0
':I. lob
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40.00
40,00
20.00
36,00
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