HomeMy WebLinkAboutPermit Electrical 2000-10-13 (2)
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DEVELOPMENT SERVmES'f'iEPARTMENT LD{L
Zoning \ 0 ..... \ 7,-0Il
(late ~vJ
k.~t111.Hlzed Signature -
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
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A. New Residential-Single or
Multi-Family per-dwelling unit.
Service Included:
LEGAL DESCRIPTION
JOB DESCRIPTION
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~.._._.1\ ~os, EIE!.h..c
Address
LJo \c;-q "7..""'TlI'
1,. dJt_f.d
iUl -Z7Z<-1
'i1ZIS
City
c.,p~\d.
Phone
Supervisor License Number
Expiration Date
\0 -6\- 01
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726.3753
FAX(541) 726.3689
ELECTRICAL PERMIT APPLICATION
City Job Number {)&-OI5'-IG-Dj
-
3. COMPLETE FEE SCHEDULE BELOV
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 60.00
$100.00
" $130.00
$300.00
$ 40.00
Constr Contr. Number
7D-~4Z<-
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
)0-CI-61
Si~l:::)SuKi~~cian
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Address Cl ~(.., CJu',~
Ci ty ~n7^'~Phone t,71.{]'1'301.
'\ 7
O\INER I STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
G~~ (l ()\X.Q~'._o&>
----------------~-------------~--------
DATE:
RECEIPT II:
RECEIVED BY:
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
200 amps or less
201 amps to 400 amps
Over 401 to.600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
"$ 80.00
VOlts see "B" above
New, Alteration or Extension Per Panel
One Circuit I
Each Additional
Circuit or with Service
or Feeder Permi t I
$ "35.00 '2.<;.00
$ 1.."0
2.00
Miscellaneous (Service/feeder not included)
-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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