HomeMy WebLinkAboutPermit Electrical 2000-5-31
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zoning, and does not require speclflc le.na use
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Zoning
5- '31- (TV '\
Date "/vI.J
97~~I.J""'\.;'J ~.yrIl2\",rU
7~b-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRl}!:l'ION ~ a
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
,
Electrical contractor~;.?;( ~/~~
Address? l '3 S~ ; 6*i t,J//...t> ~
CityGAlr4<VtJS-d. Phone rP;.r-J'~ 0
Supervisor License Number S ~;t. tF s..
ExpiLation Date410/ U/
Cons t r Con tr. Number /, ~ 'J "7":;
Expiration Date J7--J ~II ~~
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Signature of Supervising Electrician
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Ovners Name.fl1 V~~
Address ?~ ,i5'~ "'5'2-
City ~P''''";;If. Phone ~~.~~
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OWNER INSTALLAtIO"
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
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RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
3.
City Job Number~4-(~-AI
COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or ~
Multi-Family per dvelling.Unit.
Service Included: '
Items Cost Sum
$ 85.00
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular 'Dvelling
Service or Feeder
,B. Services or Feeders
Installation, Alterations
~~ 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
$ 15.00
,$ 40.00
I
~~-
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see ItB"
above
Nev, Alteration or Extension Per Panel
"
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit lel $ 2.00 ~
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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