HomeMy WebLinkAboutPermit Electrical 1999-10-12
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SPR.FIELD
Tn, 1"lIawlnQ project as submitted hasthe following
~(Jq,ng. ahO aoes not require specific I(Hid use l;
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225 FIFTH STREET Date. :' . \ 0 - \ ~ .ql.) " .iL ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON U4/1 ' ' ",:" by
INSPECTION REQUEST: AUlJl~~g~alure ~. _ .~Ile City Job Number q q 13 '70
OFFICE: 726-3759 "',::cl.' ' . ,," ,) -"'U,' "ollllcation
, " ,~... 3".,~OMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION
\<13 ~ Seon i2..D
LEGAL DESCRIPTION
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Permits are non-transferable and expireril
if "ork is not started' "i thin 180 days ~
of issuance or if "ark is suspended foro
180 ,days. .
JOB DESCRIPTION
II v.u."J S 'C..U,ll U;.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor il,uLt.dl ~,,~,
Address
l.IO I~"
4.,c.\~
'l!..~~... ~.,1I-, t. D
City
Phone '\n'l71....
Supervisor License Number
~")I.I":.
Expiration Date
10-1)1-01
~O "NtC.
Constr Contr. Number
Expiration Date
I 0 - 0 I -00
Signature of Supervising Electrician
~ /'"t4---
O"ners Name ---s' A...... T ~"u.t.1I
Address LJOIs-<l Knar"U h.II't t.d
City
c,~J
Phone ) lll-"~ '"
01lNER INSTALLATION
The installation is being made on
property I o"n "hich is not intended
for sale, lease or rent.
Ovners Signature:
~TWj
--------j------------------------------
DATE:_ Ic>- 1.,).~1
RECEIPT ~:
RECEIVED BY:
A. Ne" Residential-Single or
Multi-Family per d"elling
~ 8 ~ Sl!rVlfOce Included:
-< 0: ~ en -'l Items
0:0""0-
~ ;;Q 1ilcDsq. ft. or less
~ ~~~additional 500
o 0 ~. ft or portion
~ ~ :thereof
en ~ Eit;:h Manuf' d Home, or
6J :0 ~dularD"elling
)> :i! ~ritice or Feeder
zen:o
~. ril5elrvices or Feeders
~ :olilbtallation, Alterations
o ~012 Relocation:
C3_~m
:0 ~2 amps or less
02 amps to 400 amps
-'-l40l amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
uni t.
Cost
Sum
$ B5.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
l
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-vorts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
Ne", Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or "ith 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
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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