HomeMy WebLinkAboutPermit Electrical 2002-8-8
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JOB ~ESC;~TIOl'i~. S/ _'/J . .tted haJOOAdlq,fllrQf less
L:tJ? /-rJ4....JJ{,- ~~s>>WJl're speciliEaaItct1lnlltional 500
d does not fe~re .
zonIng, an sq. ft or portIOn
Permits arc non-transferable and>8.'jlI're L-1)J"L II=.,; -
if work is not started within 180 days zoning-1> ,. {-O ~Each ~~ Home or
of issuance or if work is suspel'fl,,9 f.QL ~Iodular Dwelling
ISO days. Signature 3..... d(;t;; or reeder
hlJ(Oonzeo
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477 .
INSPECTION REQUEST: 726-3769 .' ' :
, OFFICE: 726-3759 . ., '
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LEGAL DESCRIPTION
/i03 J(,., II
o s do ?, ..;-
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2. CONTRACTOR INSTALLATION ONLY
Eleetrieal.Contractor le.r 6:(t'r~C:
Address (J 0 ~ cJY 2..i?fJ ?/. '.
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CityC tA (~J2 Phone ~ b -t; 2] (,
~11~~~f.L ~ "-.,~tIuffi~~~~~~~~~
11-1. IS PE~~O~~r~wtMlhU:OtQR
,m.1iHlihoIl-EJ:ltef{.l ~r""""'~
'r.OWlNlHlCt.1) 'Rial) .
L Const'l ~\Y11)f\'NI~~1'>er '7 IJRrF r
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'. Expiration Date / ~/:J 0/ 0 ~
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Signahlrc of ~uJlcn'ising Electrician
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Owners Name JPffu I?u 73t0
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Address 2~J I? C>~.c 7316.. Sa P(
"') C(C:, -'1<f'o 2-
Cit). S' 6 L..-J) Phonc
OWNER INSTALLATION
The installation is being made on
property I 0\\'11 which is not intended
for sale, lease or rent.
Ownci's Signature:
EL~CAL PERMIT APPLICATION
CitYJOhNUmherO~ Gu 9~:i~>~Ao10225
. iJriTE'AU8 08 2002
A:H RECU:2 $ 56.35
CHANGE:
C.1lSHIER:OOl
3. COMPLETE FEE SCHEDULE BELOW
New Residential-Single or .
Multi-Famil)' per dwelling uuit.
Sen'ice Iucluded:
Items Cost
Sum
$106.00
$ 19.00
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$ 50.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 nmps or less $ 63.00
201 amps.to 400 amps ",.. J('........$ 75.00
1i0'irllh'p:S:to,600 amps': t;, ~::. Or"". ;j>I25.00 =
"!6~lIanips'\0.100Q:amps'II)Er ,'was .~"' ,:~1.6}.00_
, :@\:cr."IQQ.OnIllps/.~o.llS[l!: cuoi1"'\':: .,.$375.00_
_-;lR,~~on.n$"ct.Q~Y"]iltai(; CC':'19f )'; .~.~:-: -~#:~6~?o_
I~:.lil:';_ >_. (;U:I:~ (r\!~;':':\hp:2!f':':,,";~',;::'
c. Temporar-y. SCr.Ylces.or, F,ceders "'1" ., ... ..
'....,..'~.;:.; -I." lI';:' i.:",IIH' Ll1:,1. 1~~C'u'JU,htC,-
InstallatIOn, .AI.tjc~.:1~1~~,O-r~~C~~Cj~I~~.\,._ ,
200 amps or less
201 amps to 400 amps
Over 40 I to 600 amps
Over 600 amps or 1000 volts see
"E" abo,,,e .
$50.00
$69.00
$100.00
D. Branch Circuits
New Alterntion or Extension Per Panel
One Circuit
--L $4300 .!:i.}.. cO
Each Additional Circuit or with Service / rfV
or Feeder Permit L $ 3.00 ~
E. Miscellaneous (Scn-icc/fecder not iucluded)
. -Each installation
. Pump '01' irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50.00
$50.00
$25.00
$45.00
I\"linimum Elcctl'ic Permit Inspection Fec is 545.00 + Slll.C~S
4. SUBTOTAL OF ABOVE 49. .
7% State Surcharge .6. '7"5
8% Administrative Fee .... ~. y~
TOTAL ...5'(7. 35