HomeMy WebLinkAboutPermit Electrical 2000-4-19
.
The. fOllowing project as submitted has the following
zonlOg, and does not require specific land use
approval
225 FIFTH STREET
SPRINGFIELD, OREGON 97477 Zoning
INSPECTION REQUEST: Daf<Q6- ~7hQ
OFFICE: 726-3759
Autrluflzed SIgnature
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1.
LOCATION OF JNSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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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",OrfuY':' ",'O'\'~I:)\:'
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Electrical Contractor A'if2.<4.1f!.'O<If'?(~'\rc.
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Address ./'./ / ,q'7,>!.lf#d?- ,\,'0 _,~\V .
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Supervisor [;icensef;Nurribel,)\' r. ,<u..z..,/ .J
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Expiration Date",I,)/(,~/,.y/ t:I/
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Constr Contr. Number :LcJ.J~;:z. c
Expiration Date
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Address
City
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The installation is being'made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
--------:4ti1[~------------------------
DATE: 'oIb
RECEIPT: I v;J.. ,
RECEIVED BY: W S,
ELECTRICAL PERMIT APPLICATION
, City Job Number tJO~005qlf-O{
r.OMPIY.TE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
.B.
Services or Feeders
Installation, Alterations
or Relocation:
It ems Cos t
Sum
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
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t .,}
$ 40.00
$ 55.00
$ 80.00
see "B" above
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$ 35. 00 1 5' 17 0
~200 amps' 'or less
~O<?l ~1 amps to 400 amps
Signature of Supervising Electrician ~<(; g;,~(Over 401 to 600 amps
A A ~ ,,;~ .~'" ~ver 600 amps or 1000 vol ts
..,?--i, ~ ~ ~'V .<-<).~" ~a
. ~ ,~~ ~~~'~~qP. Branch Circuits
Owners Name /< "" t. /'/-1. .f ~~ ~~v
,r"Vv #"'" ~<:)v ~r' New, Alteration or Extension Per Panel
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"Phon~ _,:,.00 :Q~<0
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01lNER INSTALLATION '- ".' :c-
$
t tlO
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
~ /,00
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