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HomeMy WebLinkAboutPermit Electrical 2000-8-7 .1 . ubmiUed has the following The following prOlect at 5 Suire specific land usa zOning, and does no req . approval.. vI> n.- ZOning <{,-I-'T1) . 'ivJ 225 FIFTH STREET SPRINGFIELD. OREGON 97477 INSPECTION REQUEST: 7:mu'31cl~ OFFICE: 726-3759 Autnonzad Signature 1. LEGAL DtSCRIPTION -----4 . r4...~h (, JOB I}!>SCRIPTION ~ HvA-c Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ClJtiI{~ ~ 2. CONTRACTOR INSTALLATION ONLY Electrical Contractoi)(1., F:LE CTt2..ic Address40ld5 11.). {I i::b ~ 19; Ci ty E.UbJE:N 2" Phone! n ~+ - 51- "1 b Supervi.sor License Number ,38:J J. ~ Expiration Date 1l)/lJI!lJl Constr Contr.' Number ,~1-t:::)'i<:+' C... Expiration Date [D!D/IO() I Signatur~o~~ng Ele~rician Owners time -r;, ",....... (''1<1 ;..f f.. Address '5' ~ ,,"'" ~ City . Phone...llt:~~o L OVNER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: --------------------------------------- DATE: RECEIl>T II: RECEIVED BY: ELECTRICAL PERMIT APPLICATION r.lty Job Number OQ>-() W1.6-0( 3. COMPLETE FEE SCHEDULE BELO\! 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: LO~ATION OF INS~ALLATION 'Z'if'l LoeJ::lr.alll!v} Av. A. New Residential-Single or Multi-Family.per dwelling ~ ~~. Service Included: Circ.1 ,.-O.:p.:+.~l.{ -:,O~00 Items 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 unit. Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 S 60.00 $100.00 $130.00 $300.00 S 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 S 55.00 $ 80.00 see "B" above .' New. Alteration or Extension Per Panel One ~Circui t Each Additional Circuit or with Service or' Feeder Permi t , . I Mis6ellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E.' 5. SUBTOTAL OF ABOVE ;,r. State Surcharge 3% Administrative Fee TOTAL t ":u: /' $ 35.00 .LL- . $ 2.00 no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 .,/ ;1} .~.; '). ~... f Y (()_____ ""1/.1" ')1)