HomeMy WebLinkAboutPermit Electrical 2004-5-11
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'., '. . - - - - - -.-. -~~-'~ ... . - - - .~,'iii-~<:f;i.~~~ ":<t'~...'J"..,.:;",,;..~ ,,;;.-.. project 8S submitted has the follo~l,!g
225 FlFT~.STREET . SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (54~~~ does not require specific land use
ELECl:R!CAL PERMIT APPLICA710N approvel., LbvL
CityJobN;""ber C-LJM ZooY-.OOl?-&.te ZOning !'5-/f-ofJ,
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InstaUatlon, Alteration Qr Rl!lO"lltlon
200 Amps or less $ 50.00
1054'7.5 {GP. 201 Amps to 400 Amps $69.00
3 3 Of. 401 ADlIllTcE600l6tlipOregon law reoufraslljOO-OO
ExpimtionDate ~3 - iu _U'jt - o~ '( 0ver6bo1_.rJG~~mr4D9bonUtillty
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" . . Eac~ A~~~mi~'I'I!Won Utility Notif~lI8n
OwncnNam"~Y"V~ Wi ec.V\ev-t C v':>~ H'o~....sr'ceor 'etR\\W\s 1-800-33~~). .
AddressS~)!'- {'",..Ii. H-,IIs. E.~_ = c ~~.
City CVM_rlP. Phone b~h-9"1f'f.3 Pump or irrigation $50.00
.J Sign/Outline Lighting $ 50.00
OWNER INSTALLATION Limited EnergylResidential $ 25.00
lbe insrallation is being made on property I own which Limited Energy/Commercial $ 45.00
is not intended for sale, lease or renl Minimum Electric Permit Inspection Fee Is 545.00 + S~n:harges
NOTICE: EI~'~'
THIS PERMIT SHALL EXPIR lJ.'i1'f~: ,c~ ..
AUTHORIZED UNDER THIS PERt>. ,'" .,
- ,~~.., 01'1 IS ABANDONED7PAJ~te Surcharge ,
L;UI~IIVIC"V'-'" 1 ., .
ANY 160 DAY PERIOD. 10% Admimstrative Fee
inspection Request: 726-3769 TOTAL
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LEGAL DESCRIPTION
1&02.0611
JOB DESCRIPTION
10300
c::;;.Pl2-
Permits are non-transferable and expire If work Is
not started within 180 days of Issuanee or If work Is
Suspended for 180 days.
, _ia1W'&'Ni'l~~
1. ," l"'~,-:;.. ..~~~~
~lecbical Contractor Lf E 6/ PLL-I-r,,: '
Address '1;)~i~ jafUs Acre:,> ed
City SO ~I d Phone t:J3J -JS1F3
r
Supervisor License Nwnber
'1/'7'-1-5
F, .,...".,~.,.. Date
rO-l:91 -01/
Conslr. Conlr. Number
OwnetS Signature:
A.f:~'f:\~~~~~~~~i~~
~~~~MM ,-. ~.!liE.\!
ServIce Included
1000 sq, ft. or less
Each additional 500 sq. ft. or
portion thereof
I
2.
S106.00
lOG
3r
S 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
~
S50.00
B.
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. . ;~ ." ,....h~ [ft..;.... ,..,~
... .,. -. ..
, . ,.',. - ,." ~4~
-'~ " ~~ .t:....B:\l,..b
200 Amps or less
201 Amps to 400 Amps
40 1 Amps to 600 Amps
601 Amps to 1000 Amps
rNer 1000 AmpsIVolts
RecoDDC!>.! Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
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ShaRd Driv<(T:)IBuilding FonusIEIectrical Permit Application 1-lJ3.doc