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HomeMy WebLinkAboutPermit Electrical 2000-9-1 . SPRtt:'ELD The. following project as submitted has the following zoning, and does not require specific land use appro,val. 225 FIFTH STREET Zoning ~ SPRINGFIELD, OREGON 9747[Ja1P q- /- 6'D INSPECTION REQUEST: 726-3769 <'14. '\ OFFICE: 726-3759 Au1horized Signaturo l'U.AJ' 1. LOCATION OF INSTALLATION _?~Cf / JlorToAJ S-r Sf'~~i.,FIP.Lb' A. LEGAL DESCRIPTION I 7() (,22..70 OOB'() i CO-V ~ -Al.A~l'-1 eQ01 P Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. JOB DESCRIPTION' Wlt2L ~ \f\'J')Ttl-u.. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~M.w""\L\9'<"T 9t!o,JL { "",,&:.-v iZ..''':f Address f?:19 J..a. v-JAJ I~F,i') :q, , City.Jfe.177,2- q73o~one_SU-370 -..:2/78 Supervtsnr License Number ,3/ Zq -.J LC. 'Expiration Date 10101 )2.002.. Constr Contr. Number R/4:.Cj~S Expiration Date ;'~J.I ~~ct?() 'Si[(r:LSU~T~ician D. Owners Name -::s- ft"e--L k I V\. --I-l",- ~Oy Address'-iSOo l::ru.st" LJA-....,- if.. 270 I . / IX. so) ~ ~ City L-I'J-14- U.5./t=,DPhone b'?h-Lf5bS , OVNER INSTALLATION The installation is being made on property I ,ovn vhich is not intended for sale, lease or rent. Owners Signature: ----------------------- o<=toS' 00 '5103 DATE: RECEIPT #: RECEIVED BY: '\)E, V'V~CAL PERHITAPPLICATION City Job Number DO ~ 0/338 -01 3. COHPLETE FEE SCHEDULE BELOV Nev Residential-Single or Hulti-Family per dwelling Service Included: unit. Items' Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home. or HodularDvelling Service or Feeder $ 40.00 ,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 $ 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above " Nev, 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 Lightin~ 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~ $ 40.oEAo::ti ~ $ 20.0e::, -t:z: $ ~.o~V~.60 :I> ",""0 ~~..12""U .". .__..,~ _0 m:::J: .......0 -:::.=.:...~ a .. :z:....o1'-.)0J ~~ -=> ~'-"