HomeMy WebLinkAboutPermit Electrical 2000-12-19
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225 FIFTH STREET
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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 work is not started within 180 days
of issuance or if work is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
.
Expiration Date / Z/36./06
. /. /
s~ure of supervi.s~ng Electrician
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Owners Namemrl-(./: /' cSAJY!S
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Address /1) '3 7 (j I'J-l/'l1@IJn(,;~ '~f>L
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OIINER INSTALLATION "v,::
The installation is being made on
property I own which is not intended
for sale, lease or rent.
. Owners Signature:
----------------0----------------------
DATE: 1':<"- I, - 06
RECEIPT #: 4~=rk .
RECEIVED BY: IJJ ,0.,
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DATE:DEC 19 2000
AMT RECD:2 $ 38.50
CHANGE:
CASHIER:(J59
ELECTRICAL PERMIT APPLICATION
~lty Job Number
COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
rJO-OIUO -Or
uni t.
Cost
Sum
The following project as submined has the following
zOning, and does not require specific land use
approval. .
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SPRINGf'IELD, OREGON 9JifJ7 1;l-'I1-trD
INSPECTION REQUEST: .7'6~3769 .. I
OFFICE: 726-3759 AuThOrized Signature ~
3.
B. Services or Feeders
Installation, Alterations
Electrical contractorts !i-ff>C(!2-fC 1f:'""-f!l.-d.f. or Relocation:
AddressO 0, ~ :2.fI'93 3 200 amps or less
o 201 amps to 400 amps
City l"'J,L~ PhoneMf., ;t,:23.b 401 amps to 600 amps
. . 601 amps to' 1000 amps
Supervisor License Number _ '3 ~97 f, . Over 1000 amps/volts
j, ". ,," /. .' Recon'nec t Only
Expiration Date I {) (/A~" "0,' ""'/ . .'
u~ , "l . u"J.. _ .
( ,C.h. 'T".m~orax~.. Services or Feeders
Constr Contr. Number 7 {jrf,p 7' . Jnst'allation, Alteration or Relocation
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200:'amp's"'or less
. 201 ampsnta 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
. thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
D.
Branch Circuits
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "Bft above
"
New, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
-s~
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$
2.00
-L
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
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
'3 S.-
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