HomeMy WebLinkAboutPermit Electrical 2000-4-19
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225 FIFTH STREET Authorized Signature 'k;v./ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 --
INSPECTION REQUEST: 726_3769 Ci ty Job Number (l () -on;;).oq
OFPICE: 726-3759
3. COMPLETE FEE SCHEDULE BELOV
1.
LOCATION OF INSTALLATION 0
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A.
New Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
LEGAL... ImSCRIPTION
I-:j.-05'cA..?'-1~ 0 :::LIOd-.
JOB DESCRIPTION
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Items
1000 sq.ft. or less I
Each additional 500
sq. ft or ,portion /l.
thereof J
Each Hanuf'd Home, or
Hodular'Ovelling
Service or Feeder
Cost Sum
$ 85.00 35
$ 15.00 .!i2
$ 40.00
Permits are non~transferable and expire
if work is not started within 180 days
of issuance or if vork is suspended for
180 days,
2. CONTRACTOR INSTA.l.LATION 9NLY B.
Electrical Coritractor8(Jb tsher: tlte roc.
Address /80 k,',Ujs h..,.- Y live.
City f'Vt!; c> /I e.. Phone t" 1/9' ?? 7 J
supervis~r License Number 3 q 7 S- 5;
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
Expiration Date
Constr Contr. Number ~&;;( '7 ~
C. Temporary Services or Peeders
Installation, Alteration or Relocation
Expiration Date
\Sign.:.:~ ~f Supervising ...Elect~ician
"IeWMstYh- --vL
200 ampS"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00 L\ C>'
$ 55.00
$ 80.00
VOlts see "B" above
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D.
Owners Name ~.l kf1.JL ~ -\fowM
Address [:l,,,,,, I :).1-1 ~ '5
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t
$ 35.00
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Phone "=/- 41..1- J f:t;D
OVNER INSTALLATION
$ 2.00
The installation is being made on
property I own which is not intended
for sale, leas~ or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited 'Erlergy/Res $ 20.00
Limited Energy/Comm $ 36.00
Ovners Signature:
------------~-------------------------- 5. SUBTOTAL OF ABOVE
DATE: 5% State Surcharge
<~u~Lrr i: 3% Administrative Fee
RECEIVED BY: TOTAL
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