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HomeMy WebLinkAboutPermit Electrical 2000-7-13 . SpaFIELD 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATIQN A- 2<;""-;'S- G-UWYJ V 1ST; LEGAL DESCRIPTION I-,,~ -<,24 'S. I C> I 500. JOB DESCRIPTION --r--1--r.-tIl/ != 'C--i:::<=- 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 contrac:tor$" uJ/ i3ta.. ffuJ.t.IL Address~ !30Cl'-n+- ~ City C. ~IA Phone /4rZlllf Supervisor License Number ~ 7 ~ / ~ ExpirationDate /0 -0/ -() I Constr Contr. Number_7c1 -LI.!:l7(, Expiration Date If) - (') I -on j.gnature of,super~'~ing Ele~tfician (;[) l.lALA ()lAM-ell I' , W ers Name sk/Jwv--. u.!l~ E Address ~2S 7Z/'-.L r?L City 5PFb Phone 7'f( -02'57 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~------(:)~j?;:3j7C:;C;------------- RECEIPT II: Z-5':>Z- RECEIVED BY: 7)tr.. ELECTRICAL PERMIT APPLICATION City J~b Number c:::6-0Io9J - O.{ 3. COMPLETE FEE SCHEDULE BELOV . A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cos t 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 $ 85.00 $ 15.00 $ 4b.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 I.(D $ 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 $ 2.00 no t included) $ 40.00 $ 40.000:;0 $ 20.00~z $ 36.0'0':':'~ ("'J OC-.lu :I> ,lbCO (IJ "'1"3"1 J--L :I: _ "_~__ _ I fi1&::~Ci 8 ~~ 0 .. x ~~ "" ~~~