HomeMy WebLinkAboutPermit Electrical 2001-3-14
Mar-14-01 IO:34A
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P.oz
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
f)ate
9747-7."'0,"Z90 Signature
726-3769
1. LOCAT~ OF INSTALLATI9tf. '.1
Iflll 1-1.e"c...<.:...cu'\i.:\,
,
LEGAL DESCRIPTION
JOB DESpRIPTIO,N . --f)
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perm:ts are non-transfe~le 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"12I//){)/d~ 'rJprl,;e..,
Address~Jc;:::) Ij'l ;;l 00 tl1le .
Ci ty~'C!9fW Phone3L~=-lliJ
()
Supervisor License Number ~~~
Expiration Date ID!()\ (C\\
Constr Contr. Number \~~~~
Expiration Date rl-'~\D~
Signature of Supervising Electrician
~-~-5
ovtfls Name-L^ v-....\(~Tf\~\<t_
Address
City Phone
OllNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
1:m: ;~rm-lgW)
~5~~~H~~~~~-~~~------------
lOOG ~~~y:
899~OOO-lO:#SN~~1
275 ~IFTH STRFET
SPRINGFll:t n. OR 97477
(041) 726-3753
FAX (541) 126-3689
lI.L.11l..uu.\AL PERKIT APPLICATION
City Job Number-DI -cP~33-())
COMPLETE FEE SCHIlDULE BELOtI
mil
7-1'-/-01.
M
3.
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less ,
201 amps to 400 amps --r--
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
Cost
Sum
$ 85.00
$ 15.00
S 40.00
S 50_00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
?O..~
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 100v volts
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
$ 35.00
One Ci rcui t
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Kiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
31. Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
see tlB" above
$ 2.00
not included)
S 40.00
S 40.00
S 20.00
$ 36.00
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