HomeMy WebLinkAboutPermit Electrical 2000-6-5
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225 FIFTH STREET '1'"
SPRINGFIELD, OREGON 97477 ':)0,>"
INSPECTION REQUEST: 726-3769 "'0 oS!
OFFICE: 726-3759 (9.,,,,
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1.
LOCATION OF INSTALLATIO~
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are' non~transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Electrical ~oritractor.&.b fft;.her f'/ec.rnC-
Address / II tJ '. /(/,-)(; ( b /.II'" Y (l fJ e,
City 'D,?jPv> P \, Phone ~~?- 7Cf? 1 !'
Supervisor Licens~'Number 3q 7,;:~
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Expiration Date \.
Constr Confr.. Number 96'j' ') b
Expiration Date
Signa$ur of superviSihg lectrician
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Ovners, Hame .t:u----l7no J'S -H~
Address Yl o.....t "?-/.i ~ <)
6,; AO" ~ .. ^ Phone
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OVNER INSTALLATION
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7- J..j '-1- d-.<rtSo
City
The installation is being made on
property I OVA vhich is not intended
for sale. leas~ or rent.
Owners Signature:
DATE~----llo-~-~---------:---------
RECEu'l ll: I'~
RECEIVED B t :
ELECTRICAL PERHIT APPLICATION
Itema Cost Sum
10 sq.ft. or less $ 85.00 85
Each addi tional 500. '
sq. ft or .portion ~
thereof Lj S 15.00
Each Hanuf'd Home, or
Modular'Ovelling 40.00
Service or Feeder $
Services or Feeders
Installation, Alterations
or Relocationl
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
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$ 50.00
$ 60.00
$100.00
'$130.00
$300.00
$ 40.00
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Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 ampS"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
I $ 40.00 40
$ 55.00
$ 80.00
volts see "B" above
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Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
:sI State Surcharge
~% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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