HomeMy WebLinkAboutPermit Electrical 2000-9-20 (2)
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The followmg project 8S submitted has the following
1.0111ng and does not require specific land use
8IJproval
225 FIPTH STREET Zonin~'
SPRINGFIELD, ORE~~ q?g77
INSPECTION REQUEST: 726-3769
OFFICE: 726_3759,,"0,,zeo Signature
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1. LOCATION.ltF INdP~LATION
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LEGAL DESCRIPTION
/7032611 az.saO
JOB DESCRIPTION f) j _"~
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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
E1ec trica1
Contractor
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~f:;/ Pho1ne
Address
City
.....
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name$.e<Ll-\ olHL.h. a tl- e.Jc=b"" s
Address 2.2( 0 ~brA- :Pi..
Ci ty sp;-=D
Phone 9 8'8' ~ S'S;b6
OVNER INSTALLATION
The installation is being made on
property I .own which is not intended
for sale, lease or rent.
Owners Signature:
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--~---------- -------~- -----------
DATE: D9 ZOO 0
RECEIPT 11: >ZG fS
RECEIVED BY: ..1:>/<.
ELECTRICAL PERlUT APPLICATION
Ci ty J~b Number 99 - (X) 7 S9 -0,/
3. COMPLETE FEE SCHEDULE BELOIl
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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
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
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT 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 7s
Each Additional
Circuit or with Service ID
or Feeder Permit < $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.~ --='-
$ 20.00'~;;!1
$3~;:;:!~
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