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HomeMy WebLinkAboutPermit Electrical 2000-3-20 . \ alOleu6.S pez!lO~1 ,-'"f 'fJ _' alea . Cl.P . -tX - 'G 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. ~ c..a. ' 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.<\{,,~ > 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 S G:. 0..0 :i'I'101, I ~y ~\ \ou