HomeMy WebLinkAboutPermit Electrical 2000-11-6
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DEVELOPMENT SERVICES Dfif'ItIilToMENT .
zo' oWing prOjecl.s submitted has the tal/owing
ap~~~~'a~.nd does not require specific land Use
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974ft'le 1/- {, -<HI J
72~"d Slgnatur. ~ k
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoning
1.
LOCATION OF INSjI'ALLATION
031 Ov/lNlfie
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LEGAL DESCRIPTION
17 0'\ 2 64/ 12- be> D
~OB DES~PTION ---L
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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.
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2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor~Al,,^? ~oj{lic
Address3R;ql~ L'lUJ v_- ~qJ\l~ e.!..
Ci ty 50:1(',\ Phone 17L-t/Oq~
v
Supervisor License Number :s~~
Expiration Date 101, '0\
Constr Contro Number I -](,,:<-bY
I () I \ I () )
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Signature of Supervising Electrician
( ^ '.r.\ ~~j)-" _"-~
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Owners Name ~ ~. II'J\ \f\ 0
Address ~ ^ () 97477
Expiration Date
Ci ty ~:::)\ Phone 7-i I Po \ '?
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: I/OG~ =
RECEIPT jI: 5> 715 .
RECEIVED BY: .\ IfC.
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX(541) 726-3689
BhBCTRICAL PERMIT APPLICATION
Ci ~y Job Number ,'")C) - 0 1 b 3 S- -0 I
COMPLETE FEE SCHEDULE BELOY
3.
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00<.:::Q.l:lD
$ 60.00
$100.00
$130.00
$300.00
$ 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
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Chcui t
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
not included)
$ 40.00
$ 40.00 ~ -l
$ 20.00 --'~D
$ 36.00 ~~~
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