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HomeMy WebLinkAboutPermit Electrical 2000-7-19 'oel"S SII\lf:I'f::t;:rcf~ i"9~'0\ 01 ,o"~ ' ') , 225 FIFTH STREET ",\,,0\0\\0~,,0 ooos" LECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 2~~~ INSPECTION REQUEST: ~g'-37~i"9 ...- l?j~ity Job NumberUO -0 !13l.f -0 ( OFFICE: 726-3759 O~IO ,..111'0 3. COMPLETE FEE SCHEDULE BELOI/ 1. LOCATION OF INSTALLATI~o S,g" / ~-'o L AUK ~1I1"0 LEGAL DESCRIPTION 1703 Z- 7,0 {JKlJvI KceL/... 0'1300 '-'; JOB DESCRIPTIpN A//ffJ 4~A' .':,~v"c krL )I/lK- 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 Electrical Contractor i..jf< #JIl(t.,~ e(r;;c:r- ,I. Address 4~"t, Ci ty <; fFiII s'( c;ffE-Ll/';;~ , Phone 7 1./- OT II Supervisor License Number ~<!t'2l" ,.<; Expiration Date /v-/":Ol Constr Contr. Number Df Y3~ Expiration Date t - 8'- 0-( Signature of Supervising Electrician fi,. e'l '-- - Owners na~Qr;^ r XC.lrL L Address l?,bD LA-<,\rA- st Ci ty 5P" v.-",-!-/~tJ Phone 7'-( 7 -7 b3 Z. , OI/NER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: DATE~'------o;7z~70-0---------------- RECEIPT #: / I U:>37 RECEIVED BY: '~~ , A. New Residential-Single or Multi-Family per dwelling Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder ,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 It ems uni t. Cost Sum $ 85.00 $ 15.00 ,$ 40.00 $ 50.00 $ 60.00 IZo $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 100u $ 40.00 $ 55.00 $ 80.00 volts see tIB" above D. Branch Circuits New, Alteration or Extension Per Panel " One Circuit $ 35.00 Each Additional Ci rcui t or wi th Service., L /1'0 or Feeder Permit ~ $ 2.00 ~ Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE tfJ'1o~ State Surcharge 3% Administrative Fee TOTAL not included) $ 40.00'.' $ 40.10 $ 20."0t6;;:: $ :nnD:J.; 36 ,'v,V-I '7 C":ICJIT100 J:?~~'!! I:c.~ "-.1 r= 8.", . - , '"'i. (Cir ~;:il<o'O iTlj9,j7~ ...n t"") 6 fK I~"') I 36 <<1- ~'-'r.~~ . o-.,.....,.e,nOc...J """"(DCOO-:J