HomeMy WebLinkAboutPermit Electrical 2000-5-31
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-1<ot.;O "';'" r69~6""it. ELECTRICAL PERMIT APPLICATION
97477 """, '6 60'.; . .
726_37690'6'~1 "',o6C01t,;;"'t';6fity Job Number (YJ- ()()2~ I - 0 (
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OMP~ '$E SCHEDULE BELOII
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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m PJ:szrt!et r I OJ-G 0
identia1-Single or
Mu amily per dwelling
rvi e Included:
JOB DESCRIPTION
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 .B.
Electrical contractor~NS E/t.c..Irz;c.Co.
Address }J,f).L A-
City h+l\ CtUt. Pho~e..:JU-1~
Supervi",or License Number /J- 35'1- 5
Expiration Date 10 !()O
I C.
Constr Contr. Number /02- 3/"
Expiration Date
10/tJU
I
Signature of Supervising Electrician
<;:c-f^^ p ~
Owners ~a;e ( .flnCL.. (o,c;r;-f-,Av
Address .~/1.~ (j)111(JIUI1z,rL-
Ci ty ~e.rVL---- Phone
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
lvO:~ Signature:
: 39N\JH8
OO'O~j _ .
OOOl ~W: too---,---------------
C;v6 !00lC&:fl I . . .
RECEIVED BY: 7." r\JAA
v
Items
1~00 sq.ft. or less I
Each additional 500
.sq. ft or portion c-
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
unit.
Cost Sum
$ 85.00 <t5oo
$ 15.00 ?SDD
. $ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less J
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 40.00 LfO.DO
$ 55.00
$ 80.00
see "Btt above
,-
$ 2.00
not included)
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
40.00
40.00
20.00
36.00
$
$
$
$
200.00
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