HomeMy WebLinkAboutPermit Electrical 2000-3-20
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225 FIFTH STREET . 6u!uOZ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD OREGON 97477 -y'J1,e^OJaae- ,
INSPECTION. REQUEST-: .' .726-:3762 rfpueroll!oeds ellnbel IOU se16P~~tJ(:~~oQ N!:ll"ber 0 0 . 0 () L; &;1- OJ
OFFICE: 726-3759 .' 6ul:oiIO"~lseupemwqnsseloe!OI ;' ~~,:," , .'
, , '. '. .' 'di . 3. 90MPLETE FEE SC,HEDULE BELOIl, . ')1
1. L{:'({J!/'\I<Oo;. I\l~~T~'- . '-;'.-- N~~"~~id~~-ti~l'-si~~l~";;'~~"""~'-~'
Multi-Family per dve11ing unit.
Service Included:
LEGAL DJ;:;'iCRIPTIOll
J::;- O")1~ / 4- U~ '700
JOB DESCRIPTION
~oo~ll' ~v,l'..ct- _':l.. ~...: ."T".s:-
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
'E1ectrica1 Contracto~^~(1Gn-tne.
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Address \:>0 @.ox. ~'") .
Ci t~ Phon~tj.s ./fD'ill
4Itupervlsor License Number I~~~
Expiration Date 10 -01-01
Constr Contr. Number~~<!lO(
Expiration Date q - ('-/: -00
Signature of Sup,ervising Electrician
~AMU1""'.I (!)J eav
Ovners Name__' ~~o"" l2o~p
CJ
Address ...~ n
PhoneJ41o-' o.<\{,,~
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01lNER INSTALLATION
City
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
OYIlers Signature:
, '
~-------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
~ - 7~?/ . '>(J75Q
loti )
-=K,.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home, or
Modular 'Dve11ing
'Service or Feeder
.D.
Services or Feeders
Installation, ,Alterations
or Relocation:
200 amps or less --1--
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 5000
$ 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
$ 40.00
$ 55.00
$ 80.00
vol ts .see liB II above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui t$ 35.00
Each Additional
Circuit or vith Service
or Feeder Permi t .:!-. $ 2.00 (.,-.0
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$20.00
$ 36.00
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