HomeMy WebLinkAboutPermit Electrical 2000-5-25
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION' REQUEST:
OFFICE: 726-3759
97477 "'"
726_3769'i",s~ .s:
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SPRINGF(ELD
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1. LOCATION OJ:. INSTALLA. TION ~
5'-1 l5 ///I9,1pJ 5'" A. New si
LEGAL DESCRIPTION \ 1 O~~J3t1 d- 0 33:0 ser~~-
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L 1.. JOB D2CRIPTION
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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,'f1bnt..n. ~nt..,;Jl.-
Addressfh7() I 1:JL ft+~
City~ Phon~~';Z~-(~1
Supervisor License Number _ 40 ~5"~
Expiration Date /0/0/ ~/
Constr Contr. Number ~'7'BZ'
Expiration Date 3 /20(0 (
Signature of Supervising Electrician
~-:t2 //~ D
Owners Name .~(\..~)- .
Md"''\\OC,C:O ~ ~1~1~
CitY~PhOne
OIINER INSTALLATION 194~1o
~OO:~~tallation is being made on
:39N~perty I own which is not intended
vB' 6\f<$C (};ale, lease or ren t,
9~'!69G $ G:aJ3~ lW~
OOOG<oo'm:~wature:
BvOGOOO-!O:#SN~~l
---------------------------------------
DATE:
RECEIPT #:
tial-Single or
ily per dwelling
Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or' Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less ES
201 amps to 400 amps 10
401 amps to 600 amps I
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Cost
$-8-5~ 00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Sum
I..{OO
"'b"5O
100
~
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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bll above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Add it i onal
Circuit or with Service
or Feeder Permi t "/30 $ 2.00 kGb
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Ou tline Ligh t ing '1
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5_ SUBTOTAL OF ABOVE
~~ State Surcharge
3% Administrative Fee
~
2."I'Iz.
12.,1-1, ~'U
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