HomeMy WebLinkAboutPermit Electrical 2000-10-20
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Oct-IS-DO 03:13P
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. s submitteO has lhe
The 101l0wi09 prolect ~ require speci11C \and US
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P.LE~CAL PElUUT APPLICATION
Ci ty Job Num:'er cc:>~ 0 J 57 Z ~O(
225 FIFl'1l 5'I'RBET
SpRINGFIELD, OREGON
INSPECTION REOUEST:
OfFICE: 726-3759
3. COMPLETE FEE SCHEDULE BELOW
1. WeAn,oN OF INSTALLATION
?d5() rG\\~.PD 1)r~ ve,
l~t'lEf'i}~3JN
A. NEW Residential-S:ngle or
Multi-ram.ill per Qwelling unit.
Seevice Included:
r:':':- X' :SOD
COSI SUIIl
85.00
15.00
40.00 ~
I t Ems
1000 sq. ft. or less S
B"eh add:,ion"l 500
sq. ft or portion
thereof S
Each Hanuf'd Home. or
Modular Ovelling ~
Service or FEeder ~ S
JOB DESCRII'TION
~cLu4 -1-'1 A\C\.( tv\
Permits are nOll-trallsferable and expire
if lJlJrk is not started ;.;ithin 180 daYs
6f issuance cr if vu~-k is suspended ~or
180 d~ys.
Services or Feeders
Installation, Alterations
o. Heloc.at,ion:
2. CONTRAC'l'OR INSTALLATION Otll.y B.
EIN.tr,'cal Co~ttactor 7rD~;:,S'iO(\c.\J
Address~iD -POi< cgl.\~u" _ St::L",-",\'1
City Le... \:, (Lf'GCL l'h",'.e Sl\I~4S\ ~i'33b
~ju;e~~v i~;f~-~~~':Li~~:'n.~a Number 302'>d ,~T
- ..
20p..a:.mp.s l?'l" less ~..
ZOl am'ps t"c~ l.OOf amps
40l, amps to 600 amps
v,Ol '''mpo're: lOOO'amps. ..
i)ve'f '10.0.0 J'amp'sivotts ~
V€~9nneC t :o"nly' " .!"
$.50.UlI,
$ 60.00
$100.0C
$.] 30:00
8300.00..
$ 40~OO
) '(!:, '.-....
I 0\ a \ \ a ;!.
Slo I Y f
Yl04
Expiration Date
Temporary Services (JL- Feeders
Installation, Alte.ration or Reloc.at.ion
C.
Constr ContI, Number
S 40.00
$ 55.00
S 80.00
see "B'l ('Ibm..-!.;;'
zoo anps' "aT l{:ss
20l amps. tC' 400 amps'---
Ovec 401.to 600 amp~ -----
Over 600 'amps or 1000 volts
Expil:a t ion Da. tf.>
Signature of supervising Electrician
aL- ~;:;#-;P:.~Ao~~
~ -- - D.
Owners NamE t2.\.j ex ~o. \ \~I_~\ lc\e 6
Acidrm t='o &7<, OOI..4J...__,.._
..City W'(\)u.llj<;. Phon,,541-l4t>-lr~7D
Branch Cirelli'ts
Ne~, Alteration or ExtenGion Per Panel
(In€ Cir('.ul ( ,j ,
Each Addi lional
Cjrcuit Dr vith Service
or Feeder Permit
S 35.00
;; ') .00
01t1lER JNSThl,I.ATION
B. Miscellaneous (Service/~e~der not included}
-Each il~stallation
Pump OJ: ,irrigation ''':'':''--- S 40M()O
Sign/Oli\line Lil;hling _.. .$ 40.00
'L'~\"i,ted;E"~i:gY/~e.s~, . .)~ ,$'120..00 '2-'->
I;imi,ted Bnergy/Comm' ".$d6.00
5. ~~~;i~~~~'~r~~~::'H ~ ~X~? ~ i ~
37. Adm! ni s tra Ii \'e Fee I~d-\~ ~:,:;,SgP
TOTAL =wy Ol) 2;' ~-
('"') 1::::10..
::D .. ("")0
c.o N--i........
:x: I
t-I("'JMt...:JO
nl:X: ~o
;:UDf".,J 0
..Zt',)l',)GJ
OQ. Orn
c:J"".1T100-J
...........oo~
The installatjon is being ~ade 011
prC1p~I'ty.J ot:fl .....h~.t.h is net intend€:o
for sale, lease or rent.
Ill' -..". .::..: r ~ ", . '5!".: ' :' '," '. ; r-_
O~T.er~~s~gn~t~r~:
,;, ,.' .. it ~_:~, ';r
"';..'.:.-'---- - - ----,7"-- -- --,-- --------------'--
DATE: t '--' 2-0 0 0
RECEIPT 11' .s5'7'-f '
RECEIVED n'1: ~i<,
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