HomeMy WebLinkAboutPermit Electrical 2000-5-25
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225 FIFTH STREET O@/o 0 9 8ndJi!flEChuCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747J. .
INSPECTION REQUEST: 72b-~~aS~n Job Number
OFFICE: 726-3759 . e~~
1. 59J'TfOWdTQLA~~i-j? 00 t
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\ _ JOB ~RIPTION'J -
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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 ARC EI.ECTRIC TNC
Address QI::;7Q~ m.IY QQ c:nTT'T'U
Ci ty ElTr.EI\fE
Phone
741-0494
4079S
Supervi$or License Number
Expiration Date 10/1/01
Cons tr Con t" Number 20-403C
Expiration Date 'nln' Inn
Sign~~~riCian
owneVName}.A~ ~ ~('()~\(\\ D.
Add~essa VI um.uu
Cit Phone~
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent:
~OO:~3I~rs Signature:
: 39NliH::J
O~.~tt $ ~:a::J3~ lWli
OOO~ ~~-~l']~~a------------------------------~
~06tOOO~Nli~1 _
RECEIPT #:
RECEIVED BY:
A.
00 'PJ{tJ.~{)1
FEE SCHEDULE BELOI/ 1C
New Residential-Single or ,
Multi-Family per dwelling unit. \
Service Included:
Items
Cost
Sum
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:
~
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
100
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 am~s to' 1000 amps
Over 1000 amps/volts
Reconnec t' Only
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 IIBu above
Branch Circuits
New, Alteration or Extension Per Panel
One \Ci rcui t
Each Additional
Circuit or with Servic~
or Feeder Permi t ('o,l
$ 35.00
$ 2.00
4
E.
Miscellaneous (Service/feeder not included)
-Each installation
Pump oi irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Co~~ $ 3~.00
SUBTOTAL OF ABOVE 1',' 104~crJ: '
5% State Surcharge ~"~
3% Administrative 'Fee'.'.l., ," ~ f . ,....,..
TOTAL """",,1..,.
:',,-1..""-'
5.
.
-
~AY IU IHt U~Ut~ Ur
.SP~INGF.IElD BRANCH
US NATIBMlr eflNk..OF OREGON
FOR DEPOSIT ONLY'1L'5J6,0145 2508
eIl'Y:, [J/;i 'SPRINGFIELD
DEVELOPMENT SE~tc~~)DEPARTMENT
HAY 25 2000111q.40/01-0001905