HomeMy WebLinkAboutPermit Electrical 2000-8-24
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The following project as submitted h~S thelol/owing.
zoning, and does not require specIfic land use .
225 FIFTH STREET approval. [<2- ELECTRICAL PERHITAPPLICATION
SPRINGFIELD OREGON 97477 Zoning
INSPECTION REQUEST: Dlt~~-3769 Ys-O-~~\ ' City Job Number Do - 0129 o;...()
OFFICE: 726-3759 ~~
Authorized Signature ::r:- COMPLETE FEE SCHEDULE BELOY
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1. LOCATION OF INSTALLATIOR
1 ~o Cer..\',lI\h.\A.\ \ 'J!>/\!f0 . A.
LEG~ DESCRIPTION
i7U3 Z~5Lf 05700
. JOB DESCRIPTION ~ll\lO f(oA5)
\-i:~( ~ 41." e\P.(~I'u:l il\. c,.,~:^ \'~i);l~"
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
\: (,tp\(;M Sl~/II 0.;-
Electri'fal Contractor~c\t\ ~-[I~ :D\c..
Address' i31 (0 SA) \~~ Dr. .
Ci tYYor.\..\a^-(~ . . Phone <itJ- 1.,4"- 't3z.L/
Supervi.sor License Number L(13 sri:>
Expiration Date 1{))lln'L
I j
Constr Contr. Number 1'Z./b1\-.2~7~S
Expiration Date Li- 3-03
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
B. Services or Feeders
Installation, Alterations
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
. Si~~(JJV~ng Electrician
Owners Name fili!.II/CO F000 S,
Address I b ':)0' U-v-t ~V\, A-I ZIv d
City Sppn Phone 7'16-657S
OVNER INSTALLATION
The installation is being made on
property Iownwhi~h is not intended
for sale, lease or rent.
Owners Signature:
--------------------~-----------------
DATE: c::> 8'/24 I D'O .
RECEIPT #: . 300<6-
RECEIVED BY: .b~
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 Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.0tib .
$40 .om ~ -!f;C>
$ 20.0fu -i Z
$ ~6.~;Z~
D .. C:.:::;.
~ 6...) Ci1 'I'
f.ti~ ~: ~ 25
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