HomeMy WebLinkAboutPermit Electrical 2001-6-5
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DEVELOPMENT SERVICE5"tilB1llItRJ/WJ~ct as submitted has the tal ow",g
zoning, and does not require specific lanO use
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97[(1'/'
7~il69I Signatura
1.
LO~TION OJ: INST~TION (
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LEGAL DESCRIPTION
nO 37. "'3.'-13 0'(300
JOB DESCRIPTION
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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 contractor;)
, Address
. I
CIty Ph~~
Supervisor Licens~ ~~
Expiration Date ~
Constr Contr, Number )
EXPi~ Date I
Signature of Supervising klectrician
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City
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Phone l( t')-oZ7b
Owners Name ~J / fl
Address
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for ,:liease or rent. ,
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RECEIVED BY: ......... (r
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225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
ElECTRICAL PERMIT APPLICAt'MN541) 726-3689
~i ty Job Number (')( - 00<..( z S- -0 (
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
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
Reconnect Only
unit.
Items
Sum
Cost
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or 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 liB" above
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 3' ('
$ 2.00
not included)
$ 40.00
$ 40.00D
$ 20.0~=,=ti
$ 36.00;o:D: I>
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