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HomeMy WebLinkAboutPermit Electrical 2000-1-12 TRANS#:01-0000218 DATE:JAN 12 2QOO The fOl/owing project as s . Zonmg, ano does nol reqUUbmrtted ha.s the tol/owing approval . Ire specifIC land use ZonlOg-LUr ELECTRICAL PERMIT APPLI@~h~~D:2 $ ~~G~? 974770a1e. /-/(). _ 0() qq 1\ II R'0-2 726-;(,769 w Ci ty Job Number - U" . .) UlnOr/zeD Signatur % . e_ 'J. C6I1PY;"''' J::EE SCHEDULE BELOY 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. !1:t73~ OAlm't;g,lJ~ l ~ff~fJE.'ff:tI?! DOt{ 0 0 - rt3}ISC~TIE; 0 jjfS >.. "i Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor flullder:s Ele:::h)'c. AddressJq5 Ivhd,'sc:(l Ci ty 6lJ~eV'1e Phone 4<ns -09 Zz. Supervisor License Number 2.Cj10-S Expiration Date JO-{- 0 I Constr Cont.. Number 47-9 (p Expiration DateJ1_ -/0.00 Signature of Supervising Electrician - ~~p~ O,mers N~me /1r)~ Silt I(!.('n Add~,sJ211l~ l-tef1;J Ir\lJn, Cit~~e ' OllNER INSTALLATION The installation is being made on property I o~n ~hi~~ is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT It: RECEIVED BY: . A. Ne~ Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 , Each addi tional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular 'Dvelling Service or Feeder ,$ 40.00 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation B. Services or Feeders Installation, Alterations Inc.. 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 $ 40.00 $ 55.00 $ 80.00 volts ~ee "B" above Nev, Alteration or Extension Per Panel One Circui t ) Each Addi tional Circuit or ~ith Service or Feeder Permit I $ 35.00 .{t),QO $ 2.00 '); 0 0 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ ],1.00 -1,.......~ Llb,II - .-''-0- 40.00 40.00 20.00 36.00