HomeMy WebLinkAboutPermit Electrical 2000-11-9
The fOllowing projecI as s .
ZOning, and does not reqU~mltted has the fOllowing
approval. Ulre specific land use
225 FIFTH STREET Zoning--i:J)11-
SPRINGFIELD, OREGON 9f14rf>7 Ii -"'1- tr1:>
INSPECTION REQUEST.: A~L~7/;Q ~ \
/!01rtM'.Signalure _ ~
OFFICE: 726-3759.
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor ~~ ~
Address /tJrZ- ~ ,;':' ~. ,
City ~~
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Supervisor License Number
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Phone 7,7 9 - /500
"115-05
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Constr Contr. Numbel' b ~/~7 15f;~
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Signature of Supervisin~ Electrician
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~lIlOers Name I=JWi +t_~~
Address 1Oia' $M.J~:Q....
Expiration Date
Expiration Date
City ,...."-~.
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"18'l-"J.o*
Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease'or rent.
Owners Signature:
DATE:
RECEIPT II:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
'"ity Job Number {jo-o'S=n-OI
3. COMPLETE FEE SCHEDULE BELO\1
A. Nev Residential-Single or
Multi-Family per'dvelling unit.
Service Included:
Items Cost
Su
1000 sq.ft. or less.
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder ~
$ 85.00
$ 15.00
$ 40.00 1r0
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
201 amps to 400 amps
Over ~01 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$' 2.00 ::z.
E. Miscellaneous (Service/feeder not include,
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. ~BTOTAL OF ABOVE
7 . State Surcharge
r. Administrative Fee
TOTAL
? :>.. 0 ()
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