HomeMy WebLinkAboutPermit Electrical 2000-8-2
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SpAF,ELD
The following projeclas submitted has the following
zoning ano does nol require specific land use
approval . f7..-,
Zoning L 0
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225 FIFTH STREET
SPRINGFIELD, OREGON 974Pl'te
INSPECTION REQUEST: 72~li1\,o Signature
OFFICE: 726-3759
1. LOCATION O~lINSTALLATION
:(11 Did /rehur/ ,^n(u--,
8
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AMT RECD:2 $ 22.00
CHANGE:
CASHIER: 059
l\W;CTRICAL PERMIT APPLICATION
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City J~b Number OO-D05SC{;.. of
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
JOB DESCRIPTION . .~ _ 1000 sq. ft. or less
..J.u.v) V. il L+-'l.'t" iAJI ( /11. '(Nil/rD.! ~lftovJach addi tional. 500
. sq. ft or portlon
Permits are non-transfera Ie and expire thereof
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular 'Dwelling
180 days. Service or Feeder
2.
CONTRACTOR INSTALLATION ONLY
.B.
Services or Feeders
Installation, Alterations
or Relocation:
Items
Sum
Cost
$ 85.00
$ 15.00
. $ 40,00
Elec trical Con trac tol)""",<;d b;rL ~II Pe.ffil(1Le;r
AddressB. /I)/),,- '101,,<1 '
City ~mqtJ11- Phone 5'1/-<-I'i5I./-C)O+-V
Supervi.sor License N'!J!'Jer jg,:J/ _/Lr
Expiration Date 16fn1.. NOTICE:
_ ---:-3BIs'PERMITSH C. Temporary Services or Feeders
Constr Contr. r _1!t.!:f,:/~,'l6. ALL XPIfi:rilft1il(l:<ilt!iRn, Alteration or Relocation
I. V,\,'vnl~l: ERTHISPFRMIT/C::Nn'
Expiration 1,.&-0 4 COM ~ rl=n')QISABAN,~9,Q <gnp~'oTfless $ 40.00
N 1 n '201Jfam'psRto 400 amps $ 55.00
g EI tflfci1.Y,PER/OD. Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
SiMfi ~
-L-J}IJJ -1. '-; n D. Branch Circuits
Owners Name_+u"tu/'P rJ, tlDtnPf ". '''~.'.
P "ijeWf~All&f.~~~on or Extension Per Panel
Addre~s _ fJ, fh(J.I 1 '-1.2:) .t:t:.'" i ,U,,,.....';~d\)ineOtey~'se\'or,
I'~ r- ~J\llesadOl":\'tI \OO!/:~ ~2..()O'
City UPJ?f/lL Phone 'l/~i~G~O ~I'}'(d~ ,.a~ .
N f'~1 ~ ~li!'( GnllMh SerVlce
mINER INSTALLATION .('\OPl 'foult\a'1 Ont8~~eReed~"{Cafll!li t
OOS(), ""3Osnt~I., U\ili\'1Not
The installation is being made 06~"nBt~~~~~~~bUS (Service/feeder not included)
property I own ..,hich is not intenJfl!'Q3 Cp."",,'i~. ~'Each installation
for sale, lease or rent. Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
Owners Signature:
".. ; r
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DATE:
RECEIPT II:
RECEIVED BY:
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
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
,-
$ 35.00
$' 2.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
1....0 - 6l?
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