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HomeMy WebLinkAboutPermit Electrical 2000-8-24 "" " 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 \ \ 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. , \ 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 ::;-_:.a;:" ~ . 0 'l.'Z.+-"- 1'''':) t..J ~A~8 I. .;:::....:::.. 0-.