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HomeMy WebLinkAboutPermit Electrical 2000-5-12 zoning, and does not require specific land use approval. /Z-- Zoning LV 97fJR'l 5 - ('2.. -<11) 7~i1~signature --1S.....) . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATIO~ jCJ;3Q ~~IJ LUll LEG"AJ... DESCRIPTION . ) I \.<\G 30d.~':l., J,>;;;"3(YJ. ~~~~":~4 ~~~) U ~ Permits are non-transferable and expire if vork is not started within 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Ci ty Euuene Expiration Date Constr Contr. Number 65149 Expiration Date 6-28-00 Signw~an --- -,-.., a,'ners Name n~.I Address I '7:3 Cj Ci ty .:5P.~L\) L1P-":t; ,--~LM7.d.J.uCU41 Phone 7.:1i.o-9/9-2... OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale. lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT ~: RECEIVED BY: i...ECTRICAL City Job Number 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dvelling 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 $ 85.00 $ 15.00 $ 40.00 S 50.00 $ 60.00 S100.00 $130.00 $300.00 $ 40.00 200 amps or less ~~O~~~ 40.00 201 amps to 400 ~11!~~"\'\- _,c.~CS 55.00 Over 401 to 600?'limp..~o.\\liI' ,- $ 80.00 f\,\~600S\a.pl~s'C-o~\tOOO ~'8'l:t;" see "B" above D~~r'a~~~\r,~S~~~f'.~\)O~ '1'~~O~\('....\)O~ 'O\), mev~~l':a\l\t'eri\-~\On or Extension Per Panel c,O'!'\\ \) 1>-'( on~~C\~cuit $ 35.00 Efch Addi tional Circuit or vith Service or Feeder Permi t S 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res. Limited Energy/Comm --L-- B. serv~ces~Jdf~:Feeders Ins'tal>])~tio'n'~ Alterations ElectrIcal Contractor_Son I t rol Secur i ty ,o,ot\€R.e;lo<!~t:ion\~u'C . ~eO' ~ IU"'-O~\-'o -,- u\<jS . '>'09 "I'''~ ,,'" ,,< 1 .C> Address P.O. Box 21009 , ,~"'~\) 1>.' ' 200~amp's~or l'ess< \\o-.t' \V ,. c,el'\.Ol:i\\.\i.Qb~amP:~ \.t'o?,4.90Pamps Phone 461 '-('56,7,8\0 d.\\;' 0'O\'O'4Q};).am'p,s.. ,t'8\~600 amps .",. ~~ ,,~. (i\\).~ \\\e60iu~am'~);; to' 1000 amps Supervisor License Number O~r\ ~oll.~\~r>e cOv"er,.1000 amps/volts 'u- c,'O\\\I\V \01 \'(\~. Reconnec t Only ~e' _"- .rl\ r C. Temporary Services or Feeders Installation, Alteration or Relocation 5. SUBTOTAL OF ABOVE ,% State Surcharge 3% Administrative Fee TOTAL not included; S 40.00 S 40.00 S 20.00 S 36.00