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HomeMy WebLinkAboutPermit Electrical 2000-9-1 f( . SPRI.IELD The. following project as su~mitted h.as the following zoning, and does not require specific land use approval. . Zoning ,l,/!)I'f- Date '7/- 1- Ub 97f>.J,?orizeo Signature f(M) 726-3769 . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 10 LOCATION OF INSTALJ,.ATION.... ./ IllS l-p~ffvQ.; t"U3 ,Q1't01 LEGAL DES~PTION . i 70 <., ""3,'-11.{ S Os ~C).o . JOB DESCRIPTION d .:::u..\'3fJAN~ r Ie. vcu--,+- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. :~ee~:::::CTOR INSTALLATIO/N ONLY Address .B. City Supervisor Expiration Date ELECTRICAL PERMIT.APPLICATION . . . . ~ty Job Number(")C) - 01 332 -<::) ( 3. COMPLETE FEE SCHEDULE BELOII A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items. Cost 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular.Dwelling Service or Feeder 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 $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ;-z C. Temporary Services or Feeders Installation, Alteration or Relocation . Signa tu lectrician Owners Name ,,>7(~1ie-f\.( PU-t>O . LEX(/lfc-T?::;,H Phone 726 ~ /l.fZ '7 Ci ty, 173)" spm Address O\INER INSTALLATION The installation is being made on property I .own which is not intended for sale, lease or rent. Owners Signature: 5/ S to....."" P........L- --------------------------------------- DATE: D7 0 ( C) 0 RECEIPT II: '30~O RECEIVED BY: '" K $ 40.00 $ 55.00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel One Circuit Each Additional 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 $ J. z. 0:3- I not included) 2.00 $ 40.06> $ 40.0fRt::l::ti $ 20.0fb~ $ ~.O~~;:~ 'J~ '''"~ ~L;;.:Z-~,. I ~->;::;:g 1~~NE:l ~ P+1~::5 000