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HomeMy WebLinkAboutPermit Electrical 2001-07-10CITY OF SPRINGFIELD, OREGO'V approval Zoning Date 1225 FTTfx STREET SPRfNGFIEIJ' OREGON 9TtilInorizea Sisnature INSPECf,ION REQITBSTz 726-3769 OFFICE: 726-3759 City Job Number c:l-oo-7oL-ol 3. COUPI,SIE PEE SCEEDTII,E BELOI' A. Nev Residential-Single or Multi-Fanily per dvelJ.ing unit. Service Included:Items Cost SPR. -iFIELE' One Circuit Each Additional Circuit or vith Service or Feeder Permit Z I 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 PERI{TT APPLICATION Sum DEVEL1PMENT sERVlcEs Sfiffeftflifff roject as submitted has the tollowing zoning, andloes not require specific land use 1 IJGAL DESCRTPTIONt10i z L'\7 o t 903 JOB DBSCRIPTION SE(C ,Q{ Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI,A:TION ONLY Electrical Contractor Address 3:-l.ft U n4e^fiE Expiration Date lo- o Supervising Blectrician I,OCATION OP INSTALI,AION/-5<t Lr^ s f QA 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Eome or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less Z 20L amps to 400 amps _ 401 amps to 600 amPs -601 amps to 1000 amPs_ over 1000 amps/volts Reconnect Only c ss0 $oo $1oo $130 $300 s40 /DO.00 .00 .00 .00 .00 .00 Ci ty C,..* ,-*1\ Phonel>fi' Supervisor License Number Expiration Date /O -[ *O\ Constr Cont r. Number ) O J)q C- Temporary Services or Feeders Installation, Alteration or Relocation 200 anps or less 201 anis to 400 anps -Over 401 to 600 amps O..,er 600 anps cr fOOO voTts 00 00 ee nBr a56G- $ $ $ s $ $ $ $ 40 55 80 00 Ovners -T /v1 D. Branch Circuits Nev, Alteration or Extension Per Panel Address /s53 L+F s Ci ty SP F I Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. ovners Signature: E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting- Limited Energy/Res _Limited Energy/Comn 5. SIIBTOTAL OF ABOVE 7%, state Surcharge 32 Administrative Fee TOTAL $ 3s.00 $ 2.00 LI Z 40 40 20 36 C{ C: 00 00j' , 00 00, ,7 DATE: 1 (3F (3rf, H(;) *.1t.-lF.l(]RECBIVED D $ 8s.00 s 1s.00 $ 40.00 lLg/,4-\