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HomeMy WebLinkAboutPermit Electrical 2000-7-12 ". SP.GFIELD The tollowing project as submittad has the following zoning, and does not require specific land use approval.. H0iL ZODlng . '7 - ,.;)...~ tfV , ~ 225 FIFTH STREET SPRINGFIELD, OREGON 97479ate INSPECTION REQUEST: 726Ai3lJlCW'ed Signatura OFFICE: 726-3759 1. LOCATION OF INSTALLATION 2JdA' S val'/... Clovtr LttJ,( L07J.y) t/ . LEGAL DESCRIPTION 1703 2243 OO~OO JOB DESCRIPTION /il11,=In1 (11r111 /<'/I'//,;-:I{(/jl/--; ,ry~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ID.ECTRICAL PERMIT APPLICATION "';'Lj Job NumberOO-OI08'7';:O/ - . . 3. COMPLETE FEE SCHEDULE BELOII A. New Residential-Single or Multi-Family per dwelling Service Included: It ems 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. Dwelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders (\ I. Installation, Alterations Electrical contracto~.J"\I'rsilJ;tl '{j le"lrlil~.llte.or Relocation: Address P /J. fbD!I L//J'ii.-/K . 200 amps or less f ' 201 amps to 400 amps City I/AI;{ lJU-' Phone 5'f1-<l~"I-9678" 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Supervisor License Number 53!! / J LE Expiration Date /0/01.- Constr Contr. Numben ILILI Ip l?6 Expirati n Datel (.t.f /)1.-/ g ,ectriC,ian Owners Name {J hOfll'-1 ({U,;a.O(1 h/~L Address 2.lI/LQ .l@.I.f-,L CJpvp,.- un.{ L{Wfl City f,pr/~q/!;jd Phone 1-<l&-c('1-()? OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -------------:,r-yTo- ------------------- DATE: 07/ I if.- OU RECEIPT II: . i::.SLfC:;- RECEIVED BY: JJ/l unit. Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 volts D. Branch Ci rcui ts $ 40.00 $ 55.00 $ 80.00 see liB" above .' New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.0.0.. $ 40.~c-'~ $ 20.0g.,~~ $ 36.~;;n~~ .(Jf) ;31~ ~~~ - ~g o I'.J . 001 . . ..p... ~..oot...n