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HomeMy WebLinkAboutPermit Electrical 2000-1-7 The following prolect as submitted has the followln zonIng ano aoe~ p..:>i rtaqUlr.s Sp6citic land use approvai . Zoning I 1) IZ. Date 1-'/- U"D \ 9~;~~~t9%'ifed Signature i(IJ TRANS3.: 01-0000189 DATE:JAN 07 2000 AMT RECD:2 $ 42.90 CHANGE: 'ELECTRICAL PERMIT APPLICATI~SHIER:003 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION ">:;J:;l.:2 r=:-"~-;,/-+-~;,, , , LEGAL pESCRIPTION ~ '-?C"l"''''~ ,,;..-ro. IS~'7~1 &'2~ JOB pt: ION H AC Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is s~pended for 180 days. , 7F OO-tlOc. 2. CONTRACTOR INSTALLATION ONLY .1 I Electrical Contractor -r- ~ J"'!,.c-f.....r Iv. c .' I.A/. 11::J;h ~ f :? Address l..; tJ b 'S City /:> <" , 'Phone {., 1?7'5770 Supervisor License Number ~ 9: ,-::!. '5 Expiration Date IOhl~f Constr Contr. Number / rJlf r;;;;.. q EXPirati~~ate ~11/l?O " Signatur_~~u~~ectrician Owners NaVe <7 v s..".., -r:_ ~ ; VI c. J Address City , Phoner4c".:..L.J:J"3&' OVNER INSTALLATION The installation is being made on E. property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: J- ?-&'<:J RECEr'PT, 11: ~/-cM~ /8 "7 RECEIVED BY: ./ / h'-""~~ . 7v' - 1.'P'", 3. COMPLETE FEE SCHEDULE BELOI/ 3': 'J Job Number ~LJ..dIIf<:>~.L> I ,B. Services or Feeders Installation, Alterations or Relocation: A. New Residential-Single or Multi-Family ,per dwelling uni t. 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 .$ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnec t ' Only $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 Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above " 1. New, Alteration or Extension Per Panel - $ 35.00 35'" One (Circui t Each Addi tional Ci~cuit or with Service or' Feeder Permi t :l. , , Mis~ellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE ~r. State Surcharge 3% Administrative Fee TOTAL $ 4---- 2.00 no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 31-:::-a :J.~"'" i - 40 I I ') !--- -/0"