HomeMy WebLinkAboutPermit Electrical 2000-3-1
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFFICE: 726-3759
The following project as submitted has the following
zoning, and ~oes not require specific land use
approval.
C-~
?/I-~
cK.w
97477 Zoning
D~7e6-3769
~
Authorized Signature
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
I, O~ l< ~() 0bCt01)
JOB DESCRIPTION
:;;'<.4./1 ~;,:,. ,.." 5,.'.,.,
,. ,
P~Lmits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~;..:o&.r 5'~~
,
Address,..:'t:>'1 :k~~ e;"-.
Ci ty &:~~. ~. 4~2..-- Phone .?~..2~/?t:' 9-
, , ,
Supervisor License Number I bZ-.un r
. CT
ID~I / ()D
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Constr Contr. Number t~,/~ :.~
Expiration Date
.,
Expiration Date t/1Jt;tt!61>
Si~~r~of~~vi~gElectrician
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I{..ners-Na~e. sy~ 6 . ~
Address 3LfcS" ~ V~ ~
u
City ~lJ- Phone 74~.., ~t.f"tt
OVNER INSTALLATION
The installation is being made on E.
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
--------------------------------------~. 5.
~
DATE:
REeE! PT I:
RECEIVED BY:
3-- I - (f1)
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ELECTRICAL PERMIT APPLICATION
. Ci ty Job Number 0/; - t11) 11.-4 - 0 '7----
1.
COMPLETE FEE SCHEDULE BELOV
A. Ne~ Residential-Single or
Multi-Family per'd~elling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Ins talla t ion, AIJ~rations
or Relocation:
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 or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.'00
$ 55.00
$ 80.00
volts see "BI/ above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
$ 35.00 .
$ .2.00 '
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting I
Limited Energy/Res
Limited Energy/Comm
not included)
SUBTOTAL OF ABOVE
1% State Surcharge
TOTAL
$
$
$
$
$ 4-0.--
~.~ 11,7.0
d'J ULt. --
40.00
40.00
20.00
36.00
1/.0. -