HomeMy WebLinkAboutPermit Electrical 2000-3-17
The following projecf as submittad has the following
zoning, and does not require specific land useELECTRICAL PERMIT APPLICATION
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726_376g:aning V l;l'ty Job Number~-a;J2~Z.-1'l1
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1. LOCATION OF ~STALIfA'f.l'(jlfed Signature
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LEGAL DESCRIPTION
/'70s 2.3 d~ CJ2...8Be;
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, A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
, Each addi tional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder ,$ 40.00
,B. Services or Feeders
Installation, Alterations
or Relocation:
I
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
JOB DESCRIPT~~
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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
Electrical Contractor
Address
/'
Phone /
N7
City
Supervisor License
Expiration Date
er
Expiration
Signature of Supervising Electrician
/
Owners Name ~r ut1r~)
Address )7>.0, ~ /,.,<;;
. .
Ci ty J// t-f.,;/?J(VJiI.! Phone -$ --L;;;32d
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Sign:we: ~ '
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I DATE: _ :=, - \4- o-'D ,
, RECEIPT j1: '1'~,
RECEIVED BY: j(W ,
COMPLETE, FEE SCHEDULE BELOV
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec t 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 L-- $ 40.00 4'o.CTJ
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" aDOve
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
dn.~
, 2Sbd
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