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HomeMy WebLinkAboutPermit Electrical 2000-11-30 The following project as submitted has the following 225 FIFTH STRE~n1ng. and does not require specific land use SPRINGFIELD, oRt<f6wa~)7 4 77 l-- DIl--' INSPECTION REQUEST: ~tr~.i;ti9' (_?>\)......qv OFFICE: 726-376~e I ~ 1. ,J.OCAT~. N Oy.~Jftt~i~ ) '1 J. R (/~4 C-V1 V) : ~ t v--' LEGAL DESCRIPTION \703Z7L{t( (!:;J C-{ S-b c:::> JOB DESCRIPTION ~ €::"Q .J I eJ-r A-L rC:5fL~ crA/ Permits are non-transferable and expire if work is no't started wi thin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Elec trical Con tractor ct f?A--I Alb'll k.lt't:/~rf'c:. Address #7 I J.,- FDX ;/o~w i1 d Ci ty t:;--VffA-7 e 'at Phone 1.9 5"-;10/"72- Supervisor License Number 3.57 g. S Expiration Date 10'" 'Z-l.-O / Constr Contra Number q ~~ .5' 3 Expiration Date / P -2.. b - j) I Si~lZ..su;;~ian o~n:: Name 6-~+r 1 d&- (Sr D,-,__ c~ +e-v\V\-:V~ / Address l{c ~ sf/~~ Phone City OVNER INSTALLATION The installation is being made on property I own which is not intended fOr sale, lease or rent. Owners Signature: ----------------~---------------------- DATE: RECEIPT #: RECEIVED BY: I( 3D oc:> <;"906 ~~ 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 ELECTRICAL PERMIT APPLICATION City Job Number 00 ~O) 737- 0 I 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 $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 SO 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 201 amps Over 401 Over 600 $ 40.00 $ 55.00 $ 80.00 volts see "B" above or less to 400 amps to 600 amps amps or 1000 D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40. 00 ' $ 40.0~ ~ $ 20.0~~~ $ 36. O~ rri.i-7i LJ .. '** ~t::lZ .. ..00 '_ ~ .3 ---: I-'- :::c I : : n :-: L-J 0 rr1 :::c 0 0 - - e..- - 0 S-~~ ui r..,) GJ .._ ..... , -::l ....0 r.:r--fT1000 r..,) .. 000-. SUBTOTAL OF ABOVE 7%. State Surcharge . 3% Administrative Fee TOTAL