HomeMy WebLinkAboutPermit Electrical 2000-6-30 (2)
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SPRINGFIELD
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225 FIFTH STREET 111 <l0680C1118 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGOlf)"Q7477.?0., "01 ro S.~?"'iNo~ ,'~
INSPECTION REQUES'Iq~I"r, -3"/'09 wro ;~ov"<l81J, Ci ty Job Number ~I ~'
OFFICE: 726-3759 "'Or/~o C1fic 1<I;'''!!'!.Iyj, 0
<I Sig" 3. O'~Dt.ETE FEE SCHEDULE BELOll "I f- O/,-(97--0J
1. LOCATION OF I~ALLATI~'ll (
1,1:1.1 "'DaLJjoS. \,X'.
LEGAL DESCRIPTION
\<600~11 n"li-:t-GO
1000 sq.ft. or less
Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home, or
of issuance or if work is suspended for Modular 'Dwelling
180 days. " ,Service, or Feeder. :vc
ro'III~\~ir~lp.~-~d~otAr' i'ytllE ?rBflor ~~'~I:,~
Inl,,,B..,,,, S~rVlCeS'?r F,eeders .: ...' .
,.. 0' '"... ,~l)st.~~latlon" Al.terat:rons
, t-\ -.. '-or' Reloca tion:: n' " 'I'~S t
/ JVSU y,-..\, l'r~' '-' ;or , ....~. ~....~ "
\r .~... ,,,,"'t... ," 'i...'. ~ If, j..I. .......18
- c.a Ir ~2.00">:,mi>~~I~'i' ;l",s.s,\'o:i:icHliO'
number'201'1'ainp's. to,..4.o0"amps
r40i"'amps't:o' 600 amps
601 amps to' 1000 amps
.over 1000 amps/volts
Reconnect .only
JOB DESCRIPTIDN . ^
':1- ~ rA';f'~
2.
CONTRACTDR INSTALLATIDN .oNLY
Electrical
~ress
Ci~
Contractor
Numbe~
~
Signature of Supervising Electrician
Owners Name..n", \I i ci Q 1'\.0.. p~1'YVt.
Address ~11-'l \;)Ovj\ClS \y
Ci ty 5:>pfd Phone 1\.\1-~ \ o-l
DllNER INSTALLATIDN
The installation is being made oJ
property I own which is not intended
for sale, lease or rent.
Owners Signature: ..
~1~tlw0~.~'-
-~~~---------------~-----------------
DATE:
RECEIPT 1I:
RECEIVED BY:
ew Residential-Single or
Multi-Family per dwelling
rvice Included:
4
L '- 0
AMT RECD:2 $ 38.50
CHANGE:
CASHIER: 059
unit.
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$1.00.00
$130.00
$3.00.00
$ 4.0..00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
NOTICroo amps' 'or less c--' $ 40.00
THIS PEPlgi+Te!I\P,1;H~o:r4'erllraih~s' '..vnl, $ 55. DO
.q~::fi l~lgf~E~jOi~?,g~)El'l1I1I:;: IS NO I $ 80. DO
AUTHOrtiver 000 amps .Q.I: lOan..lwlts see "B"
COMMENCED OR IS ABANuuNl:lJ l"uR
A"'~'18~AI?0..;f9.t{hui ts
above
"
New, Alteration or Extension Per Panel
.one Circuit
Each Additional
Circuit or with Service
or Feeder Permit
3c .DO
$ 35.00 J
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTDTAL .oF ABDVE
7% State Surcharge
3% Administrative Fee
TDTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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