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HomeMy WebLinkAboutPermit Electrical 2000-8-16 s. ~GFIELD ~ DATE:AUG 16 2000 AMT RECD:2 $ 61.60 CHANGE: CASHIER: 059 ELECTRICAL PERMIT APPLICATION " . CHy Job Number 00- 0 1(')L( 6-0 ( The followIng project as Submitted has the followmg zonIng and does not reqUIre specIfIc land use approval c...L SPRINGFIELD, OREGON 9]1471 'l? - / f..,. - trD INSPECTION REQUEST: ,726-3J~9 ~ \ OFFICE: 726-3759 AUII'Oflze S,gnalure ~ 225 FIFTH STREET Zonmg 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION ~9F INSTALfiON IfI/!3 (/'e1,.nr t;/K/' LEGAL DESCRIPTION I +D:':> :2..6 ;). -ot, 0 <;LJ.L 61 A. New Res1dent1al-S1ngle or Mult1-Fam1ly per dwell1ng un1t. Serv1ce Included: JQij DESCRIPTION .I . 1000 sq. ft. or less A'?-,.,)fp-A &l1f,-/,,:, .A'f6..rr->....?,CP--- Each add1tlonal 500 V' / / sq. ft or portlon Perm1ts are non-transferable and exp1re thereof 1f work 1S not started w1th1n 180 days Each Manuf'd Home or of 1ssuance or 1f work 1S suspended~srrICE: Modular Dwell1ng 180 days. THIS PERMIT S~~CC'E~~lholIFFM.Pt'lbRV 2. CONTRACTOR INSTALLATION ONLY AUTHOP.B'.EDSer.v.fce~I~'tEF,M\1ilfr~OI COMMENCEC:fJ\~ lJlA:),altJ;.o_n'IErb~'t~n t 10ns Electncal Contractor ADT Secur1ty ,Or Relocatlon: '"'' 180DAYt-'I::RIUU 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 SuperV1sor L1cense Number 853;/11> Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 Exp1ratlOn Date 10/02 Io\f1EI\l!IU'- u'c:Ju' ,CO" ,,,,,~,,G_ ,~' 26209CLE fOllOW rUlesartoPt'i1rli\Ycl~afYe!jgp,w~Js or Feeders Constr Contr. Number l\lotlflcatlonCentelI1b.<\.!iF.L%tt-'i'aW"s~ lj)gratlon or Relocatlon '0 OAHi102-o01-0010 through OAI1 \:I52-lUl Expiratlon Date 10/01/00 llOQO Voumayob1OOOCra\lljjsl!6thqlH!~S\)) $ 40.00 calling the centSl~alIilpWe1!ijlP$nEmps $ 55.00 Slgnature of Supervising ElectrichOO1berfortheOf8!JOl1l!Jtlt1tyffl:ltd@@.tlamps $ 80.00 /". _ _~ Cpr*'JfI~ O~-'6'UO:;>amp's 01- 1000 volts see "B" above //J~ //V'<- ~ (;"ne:s Name_f7g.~ .4.up;c f:..r:r..f:;/! (tf D. Branch CUcu1ts Address 1501 Pearl St C1 ty Eugene, OR Phone541-342-1111 Items Cost Sum $ 85.00 $ 15.00 $ 40.00 Addres:; New, Alterat10n or Extens10n Per Panel $ 35.00 CIty Phone One CUCU1t Each Add1 tlonal C1rcu1t or w1th Serv1ce or Feeder Perm1t OVNER INSTALLATION $ 2.00 not 1ncluded) M1scellaneous (Serv1ce/feeder -Each 1nstallat1on Pump or 1rr1gation Slgn/Outl1ne L1ght1ng L1m1ted Energy/Res L1mited Energy/Comm The 1nstallat1on 1S be1ng made on property I own wh1ch lS not Intended for sale, lease or rent. E. Owners Slgnature: DATE~------;/~;;~--------------------- RECEIPT #: . Q.q~ , RECEIVED BY: {,J~ 5. ~BTOTAL OF ABOVE State Surcharge % Adm1n1strat1ve Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~6, a C> ! "'-Q ,(:,,0