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HomeMy WebLinkAboutPermit Electrical 2000-6-30 . . SPRINGFIELD r"ol. ~on' 0110.. <lp 'ng 1"g . "'ro. 11"<I Pro;. 225 FIFTH STREET 111 <l0680C1118 ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGOKl,,07477'?0., "01 ro S.~?"'iNo~ ,'~ INSPECTION REQUES'Iq~I"r, -3"/'09 wro ;~ov"<l81J, Ci ty Job Number ~I ~. OFFICE: 726-3759 "'Or/~o C1fic 1<I;'''!!'!.Iyj, 0 <I Sig" 3. O'~Dt.ETE FEE SCHEDULE BELOll 'I f- O/'i97--0J 1. LOCATION OF I~ALLATI~'ll ( 1,1:1.1 "'DaLJjoS. \,x', LEGAL DESCRIPTION \<600~11 n"li-:t-GO 1000 sq.ft. or less Each additional 500 sq. ft or portion Permits are non-transferable and expire thereof if work is not started within 180 days Each Manuf'd Home, or of issuance or if work is suspended for Modular 'Dwelling 180 days. " ,Service, or Feeder- :vc ro'III~\~ir~lp.~-~d~otAr' i'ytllE ?rBflor ~~'~I:,~ Il'l ,,,B,",,, S~rVlces'?r F.eeders ': .f,' . ,.. 0' "_, ,~f)st.~~latlon" Al.terat:rons , t-\ -.. '-or' Reloca tion:: n' " 'I'~S t / JVSU y,-..\, l'r~' '-' ;or , ....~. ~....~ " \r .~... ,,,,"'t... ," 'i...'. ~ If, j..I. .......18 - c.a II ~2.00">:,mi>~~I~'i' ;l",s.s,\'o:i:icHliO' number'201'1'ainp's. to...4.Q0.,amps r40i"'amps't:o' 600 amps 601 amps to' 1000 amps .over 1000 amps/volts Reconnect .only JOB DESCRIPTIDN . ^ ':1- ~ rA';f'~ 2. CONTRACTDR INSTALLATIDN .oNLY Electrical ~ress Ci~ Contractor Numbe~ ~ Signature of Supervising Electrician Owners Name..n", \I i ci Q I LQ.. p~1'YVt. Address ~11-'l \;)Ovj\ClS \y Ci ty 5:>pfd Phone 1\..\1-~ \ o-l DllNER INSTALLATIDN The installation is being made oJ property I own which is not intended for sale, lease or rent. Owners Signature: _ ~1~tlw0~.~'- -~~~---------------~----------------- DATE: RECEIPT 1I: RECEIVED BY: ew Residential-Single or Multi-Family per dwelling rvice Included: 4 ~ '- 0 AMT RECD:2 $ 38.50 CHANGE: CASHIER: 059 unit. Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $1.00.00 $130.00 $300.00 $ 4.0..00 C. Temporary Services or Feeders Installation, Alteration or Relocation NOTICroo amps' 'or less c--' $ 40.00 lHIS PEPlgi+Te!I\P,1;H~o:r4'erllraih~s' '..vnl, $ 55. DO .q~::fi l~lgf~E~jOi~?,g~)El'l1I1I:;: IS NO I $ 80.00 AUTHOrtiver 1>00 amps .Q,I: 10ao...lwlts see "B" COMMENCED OR IS ABANuuNl:lJ l"uR A"'~.18~AI?0..;f9.t{hui ts above .' New, Alteration or Extension Per Panel .one Circuit Each Additional Circuit or with Service or Feeder Permit 3c .DO $ 35.00 J $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTDTAL .oF ABDVE 7% State Surcharge 3% Administrative Fee TDTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 3'7- '~9;.~O