HomeMy WebLinkAboutPermit Signage 2000-1-26 (5)
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_NGFIELD ",.
225 FIITH STREET
SPRINGFIELD, OREGON 97477 . ,,'3-' I
INSPECTION REQUEST: 7~~'37~~c) SIll
OFFICE: 726-3759 ~~~~
1.
LOCATION OF INSTALLATION
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Supervisor License Number
Expiration Dale
Expiration Date
Signature of Supervising Electrician
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Owners Name _ ~
Address.Y6 \ \J. J f\~A.\'52J
Ci ty 6 Yr 1\9...._../ Phone ?~~ .qlJt\-
OVNER ~TALLATION
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DATE:JAN 26 2000 '
AMT RECD:2 $ 351.00
CHANGE:
CASHIER:005 '
ELECTRICAL PERMIT APPLICATION \
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or ~
Multi-Family per dwelling urr't.
Service Included:
Items C. s t
City Job Number
3.
A.
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
Sum
$ 85.00
$ 15.00
. $ '40,00
$ 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
~~ ,..oKS~TION rv... -.-.....
\"1J'~'rl.. O~
JOB ,D~SCRIPTION ,. 1000 sq. f t, or less
/1-1 lLL-uP1. ~G1J5 Each addi tional 500
'-.J . . sq. ft or portion
Permi ts are non-transfer1~mftlltl:.expire .' thereof .
if work is not started w~tnin'l~ days Each Manuf'd Home. or
of issuance or if work isl-WiiS'/ielMIid3Hiijli..EXPIRElfI'lR4r?~mRRwelling
180 days. AUTHORIZEDUNDERTHISPERW(s~O~r Feeder
2. CONTRACTOR INSTALLAT26*'1~R~EDOR ISABJ\NDOfj\ffJ;fi(pl!ls . or Feeders
~r-~QDAYPERIOD. Installati~n, Alterations
Electrical Contractor ~~trr or RelocatIon:
Address I dlO OIt[c--Pft-1U-f rzA>
Ci ty W{!;rB}JG- Phone 4S?S SScff; ,
4~
/OJ(-OO
Cons t r Con tr. Number ()(J ,/ )55GLS
/0 ---Of -00
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above'
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
"j
.
$ 35.00
$
2.00
. ",
The installition 'islteing irr~de' on' EO.. Miscellaneous (Service/feeder
property I 'oWl'! whi,Ch.~s ,noL intended. -Each installation
for sale lease 01-' 'FeIltl..J,~:uregon'awrr":llesYC-.;tCPump or irrigation
, ,It:~''\;rI':SO'J''\i\8dbYt:'eC;cgonUt::.S'ign/Outline Lighting It'
Ovners Signa turJqtificatlon Cent?, ~ose rules are set fq,iini ted Energy/Res
mOAR952-OO1- IOthroughOAR952~imi teo Energy/Comm
0090. You may obtain copies of the rules; 'J '
______,._________...!.:.~!.:_________"".JJlI,._,:_...!_2_'. :"rti'! . .SUBTOTAL OF ABOVE
DATE: '1",I'J" 'a, "" . .,":'J'jfi.:'".:,5% State Surcharge
RECEIPT 11:. C ""'51 p" ; '\. 3% Adm'inistrative Fee
RECEIVED BY: TOTAL' ,
not included)
.~
~4
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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