HomeMy WebLinkAboutPermit Electrical 2000-11-17
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225 FIFTH STREET zooiO~~a\. . CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97 4 77,~~f ].00i09 .A 0 I
INSPECTION REQUEST: 726-3769 -- --ettY Job Numberm,()\fl~~'
OFFICE: 726-3759 oale fe ______ .
ull\OfiZed S\goelU 3. COMPLETE FEE SCHEDULE BELOII
1. .~CATION ~ ~l~LA,IbN
J~i-40 ('\1'~ > A. New Residential-Single or
- - Multi-Family per dwelling unit.
V, ~ DESOOPT:r.u.N Service Included:
LL( ):"':.J.lg~ (}'3-~ Items Cost Su
~,. ,~~!l.DESCRIp;rIOti
~)\(\O n ~'\."(\f\
Permits are non-transfera and XPl e
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 ~~ ~
Address /tJ7'Z- ~ n-P.: - .
City,{'~ Phone 7.7-9-/5(;00
;'
Supervisor License Number 9',/5-5
Expiration Date /l/ o{
Constr Contr. Number b ?"/~7 lSJ;~.
Expiration Date .,tl/f! af
S'''''"'~,;!~i'~i''
,owners Name ..... ~-1J (1~ D.
. AddressJ11J \ ~uJ1fL1Jorth
City W~ Q- pQone.64:L?IQ.
OIINER INSTALLATION ~ g15
The installation is being made on
property I own which is not intended
for sale. lease'or rent.
Owners Signature:
DATE: J ( 2-0 0 D
RECEIPT <<: ~ Z-~
RECEIVED BY: i' /(
1000 sq. ft. or less.
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular.Dwelling
Service or Feeder
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00 f::{)
$ 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 ~01 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00 -
$ 80.00 -
see "B" above
New, Alteration or Extension Per Panel
"
One Circuit $ 35.00
Each Additional
Circuit or with Servi~^ $' 2.00'.;AI""\
or Feeder Permi t d.U ~
E. Miscellaneous (Service/feeder not includel
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5. SYBTOTAL OF ABOVE
7~ State Surcharge
3% Administrative Fee
TOTAL