HomeMy WebLinkAboutPermit Electrical 2000-12-13
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SPRINGFIELD
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225 FIFTH STREET.'
'SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE; . 726-3759 ','
Autnonzea Signature
97477
726-3769
'.1. '
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LOCATioN OF INSTALLATiON'
:-5531 'mAlA/' ,,' ,r
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"LEGALDESOOPTION ' "
, '.~'.70.2.33'f Z . 63> 3OC)
JOB DESCRIPTION
:et:r?,A-t r2.. '5c-<2-vi ~ CL")N(:;,,<.:r~ S,
Permi ts are r1On-transferable, and expire',
if work is ndt started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION,ONLY ,B.
Electrical contractort~'SFI("d-l'l'G\--:.r;\,\C.
Address p.O. BOf-\L\~:2- ' ,
Ci ty~i nSDrld Phone 'iLl 1-223~ ;
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\0"01-0 I
'31L!.Q
{)-DI-02.
5upervisor License Number
Expiration Date
Constr Contr. Number
Expiration,Date
5i
~ure of Supervising Electrician
. 0., 112~
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Add ress 553 I
City sp~D
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w1A-/d
. Phone b'6{;, - 'gOYO
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OVNER INSTALLATION
The ins~allaiion'ii'being ~ade'on'
property I own which is not" intended'
for sale, lease or rent.
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Owners Signature:
DATE ~ 12,/ :3 0'''=
RECEIPT 11:,
RECEIVED BY:, ~(<,.,
o../OL$
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ELECTRICAL PERMIT APPLICATION
3.
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City J~b Number 60-D/7.35'-O(
COMPLETE FEE SCHEDULE BELOI/ ~
New Residential-Single or
Multi-Family per dwelling un.it.
Service Included:
Items Cost Sum
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dwelling
Service or Feeder'
$ 85.00
$ 15.00
....._-
.$ 40.00
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
I
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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$V
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
$ 40.00
$ 55.00
$ 80.00
volts see 11BII above
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.QG
$ 20.~.....,=n
$ 36.qg~~
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('?_,.~8
, "--<::,-,:;1. 0 25
0' rr1 C) C) f'..)
............00.01
SUBTOTAL OF ABOVE
7% State Surcharge
37. Administrative Fee
TOTAL