HomeMy WebLinkAboutPermit Electrical 2000-4-24
The following proiecl as submitted has tha following
zoning, and does not requira specific land use
approval.
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225 FIFTH STREET Zoning
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 7:.!ll\1.'!l76~
OFFICE: 726-3759 Authorized Signature
1. LOCATION OF INSTALLATION
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ELECTRICAL PERMIT APPLICATION
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COMPLETE FEE SCHEDULE BELOV
. A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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2. CONTRACTOR INSTALLATION ONLY, >>. .B.
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Electrical Contractor~ -S~Lit;;;.~7. or Relocation:
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Address I' .rz,} P~h7f.t.- ~tJ...1.3, .s.'.y~ 200 amps or less
q ~ ...~ v.-u' '</ ~ 201 amps to 400 amps
City f..--........c... Phone 3r"l..I-;;yv'JJ. O~-9 :.f--<t+01 amps to. 600 amps
, "X-'0 ~ (;'01 amps to 1000 amps
Supervisor License Number?; <)'1 :S-l.~o.:> "fS"f.-u ~o~~t~JOOO amps/volts
/ / . OaReconnec t Only
Expiration Date If) I cJ '(. Itt<<,;'?;')-/,(\~'b~.
C. Tempor~ry"Services or Feeders
Ins'(ail~tion, Alteration or Relocation
JOB DESCRIPTION
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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.
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Expiration Date C; /7 ~ (
Signature of Supervising Electrician
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Owners Name~/HY
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OVNER INSTALLATION
The installation is being made on
property I .own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE:
RECEIPT 11:
RECEIVED BY:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder .$ 4b.00
Services or Feeders
Installation, Alterations
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
. Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00 1Jh
5. ~BTOTAL OF ABOVE
State Surcharge
% Administrative Fee
TOTAL
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