HomeMy WebLinkAboutPermit Electrical 2000-9-21
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The following project as submitted hes the following
zoning, and does not require specific land use
approval.
Z . LT'l r'L-
225 FIFTH STREET o01ng ELECTRICAL PERMIT APPLICATION
SPRINGFIELD,OREGlm't9":':' 4 ~ 'l-'~.lO"ln>
INSPECTION REQUES'liiutho1i~~i6~ure_C1>)..J City Job Number 00 -OlL{$Z-,-O/
OFFICE: 726-3759
1. LOCATION O. F INSTAL~TION
9S7 Qu:~A-f-/-
LEGAL DES~PTION
/703 Zb'fZ
C) 6600
JOB DESCRIPTION~
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7 c, ILc....,-.J-s
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 .B.
Electrical Contractor l2,llU1.l1..B.,OS. f(tc.ft(
Address --Yo I <;<1 "BtyI:r~ tt If ~.~
City~CI~ Phone ILlI-Z-7V(
Supervisor License Number $J../ ,C:;
Expiration Date /0 - 0 I - 0 I
Cons tr Con tr. Number _? () -Lj 4 7 (
Expiration Date /.0 '01-00
st~nu~ super8s::wLl."..'''d~
Clners Name (I,lL L, ) V'lk:..iH2....
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~'-, '^-.A- (
Address 9 ~ 7
Ci ty ~fr, "'<,~ ~ Phone
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OVNER INSTALLATION
726 -I Z'f 2.
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: 092-1=0
RECEIPT #: .26"1
RECEIVED BY: J'..r<
Services or Feeders
Installation, Alterations
or Relocation:
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
~TI
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 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circui ts
New, Alteration or Extension Per Panel
.'
One Circuit f $ 35.00 35
Each Additional
Circuit or with Service ,2
or Feeder Permit j." $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00...
$ 40.0!! .
$ 20.0g,;~sg
$ 36.0~;::r:!~
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1-"..000.......