HomeMy WebLinkAboutPermit Electrical 2000-7-19 (2)
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~"'e"/~~~/~ ELECTRICAL PERMIT APPLICATION
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225 FIFTH STREET ~O' ~'
SPRINGFIE\..D, OREGON 97477 :9"~/"
INSPECTION REQUEST: 726-3769 'e
OFFICE: 726-3759,'
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1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION t'I "0
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JOB DESCWfION ^ "r.. ^"
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Permits arl)non-transfera~ 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 ONLY ,B.
Electrical Contractor ~~ ~
Address /~~Z, ~ ,;': ", ,
City ~
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Supervlsnr License Number
Phone 7,;29-/500
'1'15-S
/Z/ of
Constr Contr. Number b ?f57 f5E;~"
Expiration Date .1. / Itfic;'T '
Signature of superv{si~~ Electrician
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.pwners-'N~~~\O _
'Address~lo ~~.
Ci ty.&n lLrul-J Phone .:\ <64 '\01, !o
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OVNER INSTALLATION
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Expiration Date
The installat'ion is being made on
property I own which is not intended
for sale, lease'or rent.
Owners Signature: '
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,DATE:
RECEIPT I:
RECEIVED ny:
OMPLETE FEE SCfiEDULE BELO~
ew Residential-Single or
Multi-Family per 'dwelling unit.
Service Included:
Items Cos t
1000 sq.ft. or les.
Each additional 500
sq, ft or portion
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
Reconnec i' Only
S,
$ 85.00
$ 15.00
,$ 40.00
S 50.00
S 60.00
$100,00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Ins tallation, Al tera t ion or Reloca tion
200 amps' '0. less
201 amps' to 400 amps
Over ,01 to 600 amps'
Over 600 amps or 1000 volts
D.
Branch Circuits
S 40.00
$ 55.00
$ 80.00
see "B" aboVI
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New, Alteration or Extension Per Panc1
5. ~BTOTAL OF ABOVE
7 . State Surcharge
Yo Administrative Fee
TOTAL
$ 35,00
$' 2.00
E. Miscellaneous (Service/feeder not inc1ud'
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limrted Energy/Comm $ 36,00
One Ci::cuit
Each Additional
Circuit or with Service
or Feeder Permit