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HomeMy WebLinkAboutPermit Electrical 2000-11-13 ('.1:) zOning, and does not require specllc an approval. Zoning Oats 11- 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 f"dtrlonzea Signature 97477 726-3769 1. LOCATION OF INSTALLATION q,5 MA-IJJ ST LEGAL DESCRIPTION /, i -y 0 ~ 3 (; I..f). 0 <p (Jl;TlJ lrJi!/ rIS1RIPTION ~, (F( - eBgj(.\N6 Lor ,~, '-' -, . - ..' ' ',.", LI6I-11S P . ' " - - ..."lv...." 'f"c ,'1t"loor udl,II" ' er;lll1't.S! 'are, non- t.rans erau' ~ all. + eXplre it,18.'?X:!Qti's', no t.,:s dij)~ea rV'iltti'ihdOf89~'days of,)(~.s.\Ia.nS;~06r,(ff.(,';of.l{J~il's'J~\rsp'e;;ae1I' for, 1BOOoaysI;IU may obtain copla~ of the rules o~ .' 'J ~~lIi;IQ the center, ,Note. thE, lele.~ho~e 2. CONTRACTOR, INS'l'ALI:.AT[QNICONty.hon B. nUI11U\.,;IIVI ....... -'-.:1- - . r:(:\:,.,t(.l'i~~ i4~r;).'1~?~':'?~44). Electncal Contractor Beacon Electric 'Address ,,585 Roosevelt Blvd Ci ty Eugene Phone LU::; 1_0=='01 Supervisor License Number 34855 Expiration Date 10/01/01 Constr Contr. Number 38497 Expiration Date 01./10/02 ervising Electrician OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: -------7------------------------------- DATE: ( -13 - ~[flJ7) RECEIPT #: ;-j'7&1 0 . . RECEIVED BY: /l. ina.LJ1..L.Ld ~ 1":1;0_00 ct<...J DATEINDV 13 2000 AMT RECD:2 $ 68.20 CHANGE: CASHIER:OOl ELECTRICAL PERMIT APPLICATION City Job Numbe,(X) 01 (., '5 7 0 I Nev Residential-Single or ~ :::::.::: :~:'::~:"i L 4J"' Service Included: " 3. A. Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion there~fOTiCE: $ 15.00 Each Manu.fpd...Home, or Mod u ~~ ~hp,v~l{!'"iilg;HALL EXPIRE IFTHE WORi( Serv lce Tof)FEeeiler,~OFI'l TJ..II~ F'E.~-1I&.R'lg9~o.- COMMENCEOORISABANO' ' Services or Feeders' ONEOFOR Ins taJ'i'a:~ rS~ PP",iR'e'i?iCt:i'ons or Relocation: 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 50.0050.00 $ 60.00 . $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less I 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 see "B" above Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit (n $ 35.00 $ 2.00 ~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 5. SUBTOTAL OF ABOVE !% State Surcharge 3% Administrative Fee TOTAL (.,2. DD 4 ,~L./ I f? lp lDB.70