HomeMy WebLinkAboutPermit Electrical 2000-8-25
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The fOIl0\,IjI1C !1c"io:>"" P," slll)mitt"rl has the following ;,, ' '
225 FIFTH STREET 'zonn.~" L"',UC":;< ,,0, :tJQ;,I,rE'; specific la~I1'tnuCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 apP'(jvSi, ~' .' " ',',' '
INSPECTION REQUEST: 726-3769 " ~:,0"'0,'15,",'-,=-, '~,'~ "to\ Clty J<?bNumber 00 ~ oog3f~ Of
OFFICE: 726-3759 r<le-._"...,~~~.._-""-~--,)~
1. L/~~~Tl}>N O~~STALI.~I9tt., ,_,.,Z<iQ S:Qi'"','<Ulb 3. &(f? PLETE FEE SCHEDULE BELOY
~> ~ ~ ~~ A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
17 o::S 3S-( <-(
D2bOO
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.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractorblkON kC~(2(L
Address "3 '3 73 L L J. JIIIlI4 ~T((\.(
Ci tL(2csl Vf::C-L Phone '8 '7 )' ~ Z l{ 40
Supervi.sor License Numberb f:::, 'b yc.(
Expiration Date 071ti" /0'1
( / C.
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name
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.H-7~ .:s + ,
Phone sl( 3 .-' bCf~
Address \.5b 1'"
City Cu-c.J:::vt (S
/
OVNER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT#:
RECEIVED BY:
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Items' Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular Dwelling I l{o
Service or Feeder ,$ 40.00
B.
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 Circuits
$ 40.00
,$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
,.
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t ( $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
'Z
not included)
$ 40. ~ , '
$ 40.~1:::I:i.::l
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$ 20.00J-lz
$ 16. dfil '::!~
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