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HomeMy WebLinkAboutPermit Electrical 2000-4-19 . . Jec as su mltted has the followin zoning, and does not require specific land use approval. Zoning LD ~ L{~/4 -c-v ~.......J Date 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Authorized Signature 97477 726-3769 1. LOCATION OF INSTALLATION ~ ..:3&l? ~ ./'i",rr/l!7€vV 0/",,/.( ..5tPN-;"'f./;:"fpf CJC LEG'AL DESCRIPTION / -70 <~-;)-J <,II {'Jo /(J ) 4~CRI~NGfA~tJ. 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 ctrical Contractor ~ /' E City ~ ~ Supervisor ~ ............. Signature of Supervising Electrician Owners Name r2 6 LIYnS}/, o/Crf/~ D. v . /7/11' /'L//'"v7c, ;f,J r::;-V(~ Phone 68"l-58sD 7 / .-r~~ INSTALLATIiza ~~~io~(lbeingC~~~ property I own which is not intended for sale, lease or rent. Address City Owners Si~~: ~ -------;-7---- _________L_____________ DATE: 0 -) ~07) RECEIPT 11: /;). ,. .y ' RECEIVED BY:l1-IYltl (JL4-d () 88 00 AMT RECD:2 $ 44.00 , CHANGE: CASHIER:,OOl ELE\..'TRICAL PERMIT APPLICATION Ci ty Job Number uO () 0 Lj'/:? 0 / . 3. COMPLETE FEE SCHEDULE BELOIl A. New Residential-Single or Multi-Family per dwelling unit. Service Included: It ems Cos t 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 Feede!). . $ 40.00 ,B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation !&(5V C. 200 amps' 'OT less / $ 40.00 201 amps to ,400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits 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) $ 40.00 $ 40.00 $ 20.QQ $ 36.00 tI-O . oz; 4y' "'r) ( -.-r= 4.LJ. ~