HomeMy WebLinkAboutPermit Electrical 2000-1-14
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Th f DATE:JAN 14 2000
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Date . 9 ~ELECTRICAL PERHITAPPLICATION "
97477 ~, - " " ,
726-3769 Author/zed Sjgnature~Ci~umber , ~tlDr? .' .
3. COMPLETE Fllli :>l:;HEDULE BELOV
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
~ BI/.kJc.sfort.L
LEGAL DESCRIPTION /
17b2 2:;~ 401 qD#-f
, I
-h JOB DE~PTIOU
tf(O~ ~^" .-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elec trical Contractor \\e.c..w ~ f.( e..l,.~\C.
Address PO. B ()~ 1.- ~ q 5"'
Ci ty ftA..} el/ll't q1~lhone q < ~ re; 303
Su'pervtsor ,License N~mber 5?l1~ <;;
Expiration Date ,0- \ - 0 \
Constr Contr. Number q 9 r;t c;
Expiration Date
(.-1.0-f>6
Sign~-iPf su~erViSing Electrician
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq. ft. or less -1
Each additional 500
sq. ft or portion 3
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
,B.
Services or Feeders
Installation, Alterations
or Relocation:
Items Cost
Sum
$ 85.00
~s CXJ
fd5J2D
$ 15.00
,$ 40.00
200 amp~~less $ 50.00
201 am~,' Y<fl/fOO amps $ 60.00
401 a>>'p'sr~'l)~ amps ,$100.00
601 A~~i~~~o amps $130.00
ovet-'~p.ty~s/&If~ts ' $300.00
Re~e'tf$tV8n~u/l' '/..~12\ $ 40.00
'80 ~D '0<s ...,.,q~
Temporar94~rQ&;9, s/YJ'ttt s.
Installatio~~ki~~~~~ ~ocation
~ e:>a n.t;~ O~k
200 amps"or less ~~D(:: $'~:ClO
201 amps to 400 amps . ~ 5'57.'00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
t!h..r4.~'L /-k;ntt. A- D. Branch Circuits
Owners Name ,
5.4110 New, Alteration or Extension Per Panel
Address --1315 ~
PMjUL- :31.5.-., q 3 ~~-- One Circuit $ 35.00
City Phone Each Additional
Circuit cor with Service
OVNER INSTALLATION or Feeder Permit $ 2.00
The installation is being made on E.
property I own whi~h is not intended
for sale" lease or ren t .
Own~rl Signa/lture: .
~~~"J /
DATE~--j!;;#-~~if,~ 5.
RECEIPT fi:: "..J~~ .
RECEIVED BY: '{( ell/\. fA /"'
C.
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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