HomeMy WebLinkAboutPermit Electrical 2001-5-30
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST,: 726-3769
OFFICE: 726-3759.
1. LOCATION OF INSTAJ.LATION
100 B C:>A-~vrl64dc..--~
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. LEGAL DESCRIPTION
17033 '-I'lL.. 07].<TO
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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 ONLYB.
Electrical Contractor ~~ ~
Address /c;rZ- ~ ,r': ~, ,
City f(~ Phone 7~9-/S;OO
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Supervisor License Number ~j?~-~
Expiration Date 1,-/0/
Constr Contr. Number b 3-1'$7 fSt;~.
Z-/4/01
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Signature of Supervisin~ Electrician
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owners Name 5... ~ i-",rc..+ ff.w,~'S
:Address +>015'''' y ZIbC> \
Phone 'I6( ~ 6':>Y /
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Expiration Date
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City
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease 'or rent.
Ovners Signature:
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DATE: 5/ 3L//t77
RECEIPT f: ( ~-5" s;.. e:;"
RECEIVED BY: 4;Y--"'-' ~
. A.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 01 - CO L{ 3'; -C) I
3. COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per 'dwelling unit.
Service Included:
Items Cost Su
1000 sq. ft. or less, $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular, 'Dwelling 1- 3D
Service or Feeder .$ 40.00
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 with Service
or Feeder Permit I
$ 35.00
$' 2.00'~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t include,
5. SYBTOTAL OF ABOVE
7l% State Surcharge
37. Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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