HomeMy WebLinkAboutPermit Electrical 2001-4-16
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225 FIFTH STREET aQprovel" ~ '
SPRINGFIELD, OREGON 97477 zooi09 - I L- , to' 0 I'.
INSPECTION REQUEST: ,726-37.69 ~ ~~
OFFICE: 726-3759 Dale - "oelure-
AUlnOriZed 519 3 ,
1. J.JOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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t/;B DESCRI~ION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance ~r if'work is suspended for
180 days. .
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor S--n... J_EJ\Jr./
Address tPD (JDY /lrJ;;-C;
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City S~1JO'::{-1J/l.. Phone ~ 1/'7- /Jt'1
Supervisor License Number :7, /,!{t;S
Expiration Date /Il,-j-{) I
Cons tr Con tr. Number J~--<=JR 1
,
Expiration Date ?;-/J4 -n-;'"
Signature of Supervising Electrician
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Owner~ Name A (:2C.Q
Address, /bO=
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Phone b 8'1- b(:;U"f
OYNER INSTALLATION
The installation. is being made on
property I owp. which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: {)I.f (/, 0 r'
RECEIPT II:
RECEIVED BY:
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- -
,Ms..
-
ELECTRICAL PERMIT APPLICATION
:City Job Number 01-00 37Z-0(
COMPLETE FEE SCHEDULE BELOII .~
New Residential-Single or
Multi-Family per dwelling uni~.
Service Included:
Items
Sum
Cost
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
B.
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 amps/volts
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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
"
New, Alteration or Extension Per Panel
One Circui t J
Each Additional
Circuit or with Service
or Feeder Permit ~
I/o/'-
$ 35.00 I ^-~
$ 2.00 .Li...
E.
Miscellaneous (Service/feeder
-Each.installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Li~ited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.0el: -l
$ 36.00'gr
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