HomeMy WebLinkAboutPermit Electrical 2001-7-31 (2)
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SpAFIELD I. ...,,1 ~~
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The following project B5 5U ml e
zoning. and does not require specific land ,.use
Bpproval. ~
Z.oning
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Dale
225 FIFTH STREET .Au 1101;' d 5' lure
SPRINGFIELD, OREGON 'j/~' ,'ze Igna -
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION QY INSTALLATIoN
/620 J)/ 'f..'~ 0;-
, I If8':!i 3~~~[fION 0 7000
'Atf~~~~
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Ge..o....d EI€Gl\...c
th_..d~ I,?~, f2J
Address r'<.154
Ci ty JpP Id
Phone ,4/ -c4/c.(.
Number -36S.:.{S
Supervisor License
Expiration Date
jO-lJl-Di
Constr Contr. Number 81N5
Expiration Date 11-/0 .-(>/
Signature of Supervisin~ Electrician
/"\~ ~ '
Ovners Name ~",..e-l Ac.-1)",..,,\d.
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Address ID~o Di\LI\..A-
City Phone /ln~~lg()
OVNER INSTALLATION
The installation is being made on'
property I ,ovn vhich is not intended
for sale, lease or 'rent.
Owners Signature:
---------------T-----------------------
DATE: 7/31 0 \
RECEIPT 11: t>;;> ~ 14
RECEIVED BY: ~;tglV-
-,'
:4
. -OHTE: JUL 31 2001
AMI' RtCD:2 $ 42.90
, CHANGE:
CASHIER:Oll
ELECTRICAL PERMIT ,APPLICATION
City J~b Number Oi-OCl<l.Olq-:OI
3.
COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family, per dvelling uni to
Service Included:
, Items' Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular'Dvelling
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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
"
---L- $ 35.00 3S,.co
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit ~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 2.00
4, tin
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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