HomeMy WebLinkAboutPermit Electrical 2000-7-31
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2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders
Installation, Alterations
Electrical Contractor..:::z:-AjF=IN/7y' iEtLL7, or Relocation:
Address.:23 3.;2~ NE..~At..Vso"v ~.
Ci ty3lv~ /,cu;;< Phone 5' t) 3 -;J.(} r-tJS 33
WA. rS/,bfo ,.
Supervisor License Number 20 g 7-,S
Expiration Date / D - 0/- 0 I
Constr Contr. Number 30;1.. g<jf
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF~NSTALLATION
R22 f:) cL TLI NI=-
LEGAL.DESCRIPTION
/703,1530 009c>D
JOB DESCRIPTION
ADn R A-rH/ZOov-->-
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
~ .. C:)~ -'() I
Signa ~re ot;
U~
own(j Na~e
Address
Supervising Electrician
~~
v' ~
S'Vc..A.AJ I, R ,. V€U.
I
Ci ty
Phone
OVNER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
Owners Signature:
--------------7:---;l------------------~
DATE: 67/31 /oD .
RECEIPT 41=: f ( z..-.7 ( I
RECEIVED BY: ___J~
-ZLECTRICAL PERMIT .APPLICATION
." . .,.. .'-
. .
'Ci ty Job .'Number ~O .- 0 1/ 72 -0 (..
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
. Items - Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
.$ 40.00
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT 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 ) $ 35.00 350'"
Each Additional
Circuit or with Service y~
or Feeder Permit ;2- $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40. OQ; -I
$ 40.0(J~ ~ sg
$ 20.0m;:ri~
$ 1.t..0t"P"" **
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