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HomeMy WebLinkAboutPermit Electrical 2000-10-23 ~ . DEVELOPMENT SERVICES DEPARTMENT The following project8s submitted has the following zoning, and does not require specific land use , approval. Zoning '( o AM~2RItlM)r~ 5$'1119;"160 SPRINGFIELD, OFCRANGE: (5f:!Atilfltff'l'959 FAX (541) 726-3689 ~LECTRICAL PERMIT APPLICATION 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 C(I 10 - V;--o"b f<t..U 91A7';} 726-3769 ' Aufhonzeo Slgnaturo 1. LOChXION OF INSTALLATION X-HL,CJTZ S'r\Y'S VEL.! A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTIQN 3032. GATB-tAy 5T JOB DES~PTIqN (, 'P6S ethevY\<=\ c<ZlD II n<;' 97'-1-77 Permit~ 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 C Bf1 /N'-- M LK' JfZ &I Phon~ 3 -23 9-57/0 Address'D3\ :5~ Ci ty -rt> r<rut-N 0 Supervisor License Number J 71(" j LE Expiration Date /C>~~6:Z- Constr Contr. Number ~ 2'-927 CLE Expiration Date /6///61 signa~ of~?1sing Electrician !J(,/J/I,Jd/' ~ . / Owners NameCfl.A.<'~ Do 0; , S{,Jl\P"'" ?-<-lll tJ,'/~ t:r iSK'3 - ') (Yi Address Ci ty E "";yA--.9- Phone OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DA~~~---I-~f~r~~-------------------- RECEIPT #: :3SS-:r- RECEIVED BY: wJ::> City Job Number 3. COMPLETE FEE SCHEDULE BELOV 00.>-00'15-::;.- 01 Items Cost 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 Sum $ 85.00 $ 15.00 $ 40.00 $ 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 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 $ 2.00 not included) $ $ $ $ 'J.[:; D~ :':'~d- I,Oi?' ,Y--1.~ 40.00 40.00 20.00 36.00 -"p . r.~