HomeMy WebLinkAboutPermit Electrical 2000-7-6
;~e. following project 8S submitted has the following
OIng, and does not require specifi I
225 FIFTH STREET approval. C c and use ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning C.- .
INSPECTION REQUEST: 7,2,li.3769 7-(p _~ city J~b Number<~)O ;"007,-/7-0/
OFFICE: 726-3759 .
G 0 L.D"~o"~~e ~.
1.~OCATION OF \NSTALLATION~ -
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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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 .B.
Electrical ContractorG0>/!,L- t3rJ)~(
Address S ;;"~ AJ. (.;t1.Ar-D "A
Ci ty /!:.v~ Phone tb3-1S77
Supervisor License Number >;rr4'~
Expiration Date /O~ ?.<->~(
Constr Contr. Number /D~ 67 7
Expiration Date /-L.Du(
Signature of Supervising Electrician
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Owners Namerf"TLo/!- .{:'trJ ~c-p-- .
Addre~s5(.,3 0 Ph ~I ,..J
CitiSpDl'.nd.t~Vd...-Phon;jLN -355 ~
OIINER INJALLATION
The installation is being made on
property I .o"n "hiCh is not intended
for sale, lease or rent.
Owners Signature:
DATE~;:-~~-Cfi)=-----~--------------
RECEIPT II: ~\( /
RECEIVED BY:/7 _ rho ch a.d 0
7
R: L. 00
AMT RECD:2 $ 62.70
CHANGE:
CASHIER:OOl
COMPLETE FEE SCHEDULE BELOV
Ne" Residential-Single or ~
Multi-Family per d"elling unit.
Service Included:
Items Cos t Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular.D"elling
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 ampstvo1ts
Reconnect Only
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B" aDOVe"
Branch Circuits
,"
Ne". Alteration or Extension Per Panel
One Circuit I $ 35.00 JS'
Each Additional
Circuit or with Service 22-
or Feeder Permit 1 I $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightinv
Limited Energy/Res
Limited Energy/Comm
not included)
40.00
40.00
20.00
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$ 36.00
57. C5"V
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