HomeMy WebLinkAboutPermit Electrical 1999-12-2
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ZOning_ eJ:! _ ELECTRICAL PERMIT APPLICATION
97477 Date '2,- Cal
726-374~ ~ City Job Number {I t 01
or/zed Signature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION I
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Permits are non-transferable and expire
if vork is not started vithin 180 days'
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ARC ELECTRIC INC
Address Rr:;7R~ m.TV OO-S.QTT'T'U
City~1'
Phone 74 1-04Q4
Supervisor License Number 40795
Expiration Date 10/1/01
Constr Contr. Number 20-403C
Expiration Date 10/01/00
Sign~U~trician
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Ovners Name Fi, ~I 1H~"-T"'.1 sU /II.I.!J .
Address 320) ()4~ lit '-
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Ci ty <;p (' // Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT It:
RECEIVED BY:
Id=d- ~ 4
:;S(02, /,.,
'I4,U
SCHEDULE BELOI/.
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps 0" less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect'Only
Items Cos t
Sum
$ 85.00
$ 15.00
.$ 40.00
I
$V
$ 50.00
S 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
Branch Circuits
$ 40.00
S 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
One ,Circui t
Each Additional
Circuit or vith serVice;
or Feeder Permit
E.
$ 35.00
$ 2.00
z...-
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Ene"gy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
37. Administrative Fee
TOTAL
no t included)
$
$
S
$
5~
,~
40.00
40.00
20.00
36.00
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