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HomeMy WebLinkAboutPermit Electrical 2000-1-12 . SP.GFIELD Zoning ana Ooes r!:){ require specific land use approval " I\. . Zoning \. k.' J Dale /-/2- tiQ 225 FIFTH STREET Aulnonzoo Signature _~ SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION pf 4 10Vo JI_/"wk.l. 5!f-IA. LEGAL DESCRIPTION ./" J/()A, 1..).....01) OJ.~o6 . A. JOB DESCRIPTION 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 ContractorL.t.- 7J SueS. Address-LihD fr~J. iJ/t.c..- City~r . Phone ~~~-' /'12-7 Supervisor License' Number j /3 t..ei Expiration Date IDIDI/O 2- , Constr Contr. Number ftJf'tl Expiration Date,jY jI f /~I-J Signature of Supervising Electrician 7~C~ <;) D. Owners Name.IiIiI..LJ-'~ (ill eLt:- Address iOU-f) ~~~ Ci ty 7t]JL -q OllNER INSTALLATION Phone The installation is being made on property I own .vnich is .not.intended for sale, lease or rent. Owners Signature: DATE: RECEIPT 11: RECEIVED BY: AMTRECD:2 $ 39.60 CHANGE: CASHIER: 032 ELECTRICAL PERMIT APPLICATION City Job Number ~- -1'-'] (lol(-~ CiC(130r 3. COMPLETE FEE SCHEDULE BELOY New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or port~on thereof Each Manuf'd Home. or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 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 aoips. 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits ,. New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each .installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm '>( $ 36.00 ~o 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL ;] '1. 6D