HomeMy WebLinkAboutPermit Electrical 2000-5-31
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225 FIFTU STREET ZOning ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON ~tf!7~ S - '3> '
INSPECTION REQUEST: AJt~erl-37-W I-_<H> -City Job Number ~~~2;~..1
OFFICE: 726-3759 ZedSlgnatur._W - *
J- r.OMPLETE FEE SCHEDULE BELOV
1. LOCATION .OF INSTALLATION
L,M~I ,NotA,//I) ~7" A. New Residen tial-Single or
MUlt~-FamilY per dwelling unit.'
LEGAL DESCRIPTION Service Included:
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JOB DES~PTIO~
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Permits are non-transferable and expire
if work is not .started within 180 days'
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractor~~~ ~~'
Address~9'q7b 1::!!f LON'e
City E-'-1~Ne Phone 6Pb--6Q(J5'
Supervisor License Number ~~~~
Expiration Date /6/// CJ/
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Constr Contr. Number S-9'4..~/
Expiration Date c? /Z6/tJ/J
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Signature o~:Sin~ E~rician
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Owners Na:e7?3-o/L~~q ~N.
Addr~ss" :?tt0c:~~/Y7?JrL;~3Q.
City_E.p4G~E Phone ~/-://7?7
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OVNER INSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent:
Owners Signature:
---------------------------------------
DATE:
RECEIPT t1:
RECEIVED BY:
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Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. f t or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular -Dwelling
Service or Feeder ,$ 40.00
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Services or Feeders
Installation, Alterations
or Relocation:
ZOO amps or less
201 amps to 400 amps ~
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect' Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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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
S 40.00
$ 55.0Q
$ 80.00
see ItB" above
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Branch Circuits
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New, Alteration or Extension Per Panel
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One\'::ircuit $ 35.00 ..
Each Addi tional ,.~
Circuit or with Service
or Feeder Permit ?-j $ 2.00 ~'f
Miscellaneous (Service/feeder not included)~
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
~ State Surcharge
3r. Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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