HomeMy WebLinkAboutPermit Electrical 2000-7-14
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zoning, and does no~ require specific land use
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Zoning
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Date
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Authorized Signature
97477
726-3769
1.
LOCATION OF IN.sTf4.~TION /
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LEGAL DESCRIPTION
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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.
2. CONTRACTOR INSTALLATION ONLY "B.
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Electrical Contractor'0 ,( (s ~.
Address ~/10 U) II ~
Ci t,,(;.,A2-1 Phone "':3 <If f r L..(
supe~visol License Number 9 j? () {"
Expiration Date / D -1- ""2-0 i:) I
C.
Constr Contr. Number d- ( '3 !) /
Expiration Date J{)-/- cz. OC) 0
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Signature.,gf superVis~ Electrician
~ / f' ./ t/ //14 ________
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Owners Name (1, 7-.'0 I~
Address
City
Phone
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
---------------------------------------
DATE: o?/'-{oD
RECEIPT I:
RECEIVED BY: ~
2S7/
ELECTRICAL PERHITAPPLICATION
City Job Number U 0 - Do ,)25':"0 (
3. COMPLETE FEE SCHEDULE BELOV
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
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
Branch Circuits
"
New, Alteration or Extension Per Panel
'? L crD
$ 35.00 ~7
I
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00..
$ 40.0~t::'";;;.:!
$ 20.0Q :J:>;!2
$ 36.0~~eij
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