HomeMy WebLinkAboutPermit Electrical 2000-4-14 (3)
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Job# 00-00575-01 I
Paid On Receipt#
Electrical
04/14/2000 1257
04/14/2000 1257
04/14/2000 1257
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Fee
Permanent: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Grand Total
Signature
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Page 2 of 2
Value/Quantity
1
Date
Fee Amount
$50.00
$3.50
$1.50
$55,00
$55.00
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. submitted has the !ollOwing
The.follOWin9 prOJa~~~~equire specifiC land use
lOnlng. and does ./1 ~
approval H b r ~
225 FIFTH STREET Zoning - 0
SPRINGFIELD, OREGON 97477 if-N -~o/, )
INSPECTION REQUEST1ateT.f6-3769 ~
OFFICE: 726-3759 MtnOnzeo Signature
3.
1. LOCATION OF INSTAL~ON
Jjbfpt}~.'L~4Ji;;.Je~~;jP'&-"6'A
LEGAL DES PTION . .
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JOB DESCRI~~~ .....J..
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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
Electrical contractorBll'I,'"",,- E/pcfn'c
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AddressM9R ~1"1l/e...
CitY~np Phonej,RJ'-?,rA
Supervisor License Number ".Q71 q.s
Expiration Date /(]/o/!O/
Constr Contr. Number _7.n -I ?9 c..
Expiration Date/O/Ol/OO
. Signature of Supervising Electrician
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Owners Name /JiJ/J j' (l/Y//J I-.:s
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Address 3095 ::5-f~? IJr/Ve...
Ci ty W4~e.. Phone .GPR-SP~
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O\INER . INSTALLATION
ELECTRICAL PERMIT APPLICATION
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City Job Number OO~00575-0/
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COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd ~ome. or
Modular'Dwelling
Service or Feeder
.B. Services or Feeders
Installation, Alterations
J~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
Items Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00 $0,00 .
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT .:
RECEIVED BY:
200 amps"(Yr less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
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New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$20.00
$ 36.00
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