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HomeMy WebLinkAboutPermit Electrical 2000-3-29 , t submitted has the 0 The following prolec as 're specifiC land use zoning, and does not reqUl epproval. L-. \\ a..- Zoning :?-~0- ti1l Date cKLJ 9~6\~Jiz.d Signalure 726-3769 225 FIFTH .STREET SPRINGFIELD, OREGON INSPECTION REQueST: OFFICE: 726-3759 1. LOCATION O~ :WSTALLATION ........ 7~~ ~"':4J~2/~ /;?r_?/ . LEGAL DESCRIPTION I?d=S2~~ P?/./..o . JOB DESC3I~IONc..,... .../At/A~ ~~ A'~. -" -" - Fermits 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 Contractor'BlfJNS f~lc.- Address ;2../0 WA-LLlS :'i'f7(. #r_ Ci ty EV~6Vi Phone G:. '67-/~,;2. SupeL'visor License Number .3 04 ,-....R Expiration Date 10-1- rl 001 Constr Contr. Number 737hZ- Expiration Date (, - ~- :LOOT[) Signa~Z??Elect= Owners Name ~~~.~M::.H'.o Address 7"'~ .M~.::v-..e ~.~ r . r.. ~ _" Ci ty ..s~ ,;r, . Phone ?':;>""'....~ O~ IN~TAtd.fr?? .' The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE:_ .3, ~~;;:::? Rr.-.t.J.r! fi: b~/.A ~ RECEIVED BY:' /7/.....-_ .~p . DATE:MAR 29 2000 AMT RECD:2 $ 242.00 CHANGE: CASHIER:004 ftLECTRICAL' PERMIT APPLICATION City Job Number -9~..,o/Y<srr~/ 3. COHPLETE FEE SCHEDULE BELOI/ A. New Residential-Single or ~ Hul ti-Family per dwelling uni t. '. Service Included: . I terns Cos t' Sum 0/ $ 85.00 8L. 1000 sq,ft. or less Each additional 500 sq. ft or portion , thereof Each Hanuf'd Home, or Modular 'Dwelling Service or Feeder 9 $ 15.00 J~ . $ 40.00 ,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 $ 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 $ 40.00 $ 55.00 $ 80.00 see liB" above D. Branch Circuits .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 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 ??./:>. - - / Jl:". ~.o , ~./~ ?-y-, ..:>~