HomeMy WebLinkAboutPermit Electrical 2000-6-30
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· s,o.O'I}est. ELECTRICAL PERMIT APPLICATION
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"O'"al!v..;ty Job Number 00-OO2.~Z'-O I
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225 FIFTH STREET 'I}O'I<.
SPRINGFIELD, OREGON 97477 .0' oS,
INSPECTION REQUEST: 726-376?".,,,,
OFFICE: 726-3759 ·
-
1. LOCATION OF IN~').'roN (
71,<;<; 'Old. ~~
LEGAL DESCRIPTION
1703.7-3Lf'5
6 Z-600
JOB DESCRIPTION
W HatE /I-c:P/AS ~
Permits are non-transferable and expire
if york is not started within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Ge..vt\w:L c:Jecr-
Address c3Q54 tfo-GfdBl.j By Rd.
Ci ty Sp-t {eL Phone ('-I ( -2$9{.
Supervisor License Number .:~6'S'I5
Expiration Date JD ~/O -2000
Constr Contr. Number g7/4s
Expiration Date /1- /0 -DO
Signature of Supervising Electrician
,,/1 ~.
Owners Nam~,LeDl'i K-C7&-FE
Address 7:?8' Old. Oe<..Lnd LA
Ci ty Sf PLI::J Phone
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DATE;---2)E;:325~~------------
RECEIPT II: ?,-!:0Lf
RECEIVED BY: -Dtr<..
Residential-Single or
lti-F~mily per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less I $ 85.00
Each additional 500
sq. ft or portion >'
thereof $ 15.00
Each Manuf'd Home, or
Modular, 'Dwelling ,$ 40.00
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to, 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" aDOve
D.
Branch Circuits
,"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$ 40;:00
$ 40;oQ...-<
$ 20;t')(}5:D
~$ 36 ~~ CJ,O
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