HomeMy WebLinkAboutPermit Electrical 2001-7-16
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t>Uj M-' ELECTRICAL, PERMIT APPLICAT~ON... ' '
, City Job Number OI-6tJ'fB~ '()l
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225 FIFTH STREET AUlhOl1~9dSignal~re
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCA~ ~F/. INSmLATION
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LEGAL. QESCRIPTION
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3. COMPLETE FEE SCHEDULEBELOV
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. A. New ReSidential-Single or
Multi-Family p~r dwelling unit.
Service Included: '
D.O-7cc) 'Items - ' ' Cost
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JOB DESCRIPTION
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Permits are non-transferable and e~pire
, 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 ..z;?!'iJ,/YOC,7/e-
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Add'ressZ3~ 7.:7- N,e-. Q..A\A,J5,oN t.O. , '
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Supervisor License Number 'Zt.fgl<:'
Expira tion Date \0 D \ 6\
ConstrContr. Number''3>b L <<5'13
'Expiration DateO~ o~ \ 0 \ ,
, Signature of Supervising Electrician
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Owners Name 'SAC)<,,' <<iZ.OV,u
Address 2:;~7:Z. N, E. 't.A'vVSONl.O.
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OVNER INSTALLATION
The installation is being made on
property I own whi6h is not intended
for sale, lease or rent. '
Owners Signature:
---------------------------------------
DATE: 0 7 ( l~ 0 (
RECEIPT #:
RECEIVED BY:
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1000 sq. ft. or less
Each additional 500
sq. ft or p6rtion
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
Sum
$ 85.00
$ 15.00'
.$ 40.00
$ 50.00
$ 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 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40. 00 '
$ 55.00
$ 80.00
volts see "B" above
,.
New, Alteration or Extension Per Panel'
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circui t J.
Each Additional
Circuit or with Servic~
or Feeder Permit t.i
E.
5.
SUBTOTAL OF ABOVE
7% Stat~ Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40. O~ __I
$ 40.00-J~~
, $ 2 0,~-9ffi ~ ~
$ ~9~P@.:.~ =::-
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