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HomeMy WebLinkAboutPermit Electrical 2000-2-28 '. ~ 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INST~LAl'ION fJ <{Ii.. fhf7j('UJ-Y; ('oki _ r: \fJ~~';\~~ON ()61\f) ~ . JOB DESCRIPTION /'-flr/hd 1nLf1'/-' )//'nr-;/.q ~r4-:rn....; 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 ,B. Electrical contract(J;...r,r;;P;L?I/nJ-;tJnd Address. fJ. 0, t3m t/{).:f....t/ . City ?ll-'1117P Phone 5'11-L/Y.J-t}t)1'i Supervisor License Number . 1831 J~G:. Expiration Date t/ I tJZ . A. Constr Contr. Number 9'6'/</.5" Expiration Date /0100 Si~ off!)sing Electrician Owners Name {"laI' 13. /-Infl1lX Address P. f). /2r;" "7 t/Z.5" City {n.Jq""'1L Phone 54/-1L1</-'2.(,I/O mINER. INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT II: RECEIVED BY: '" 4 DATE:FEB 28 2000 AMT RECD:2 $ 22.00 CHANGE: CASHIER: 059 ELECTRICAL PERMIT APPLICATION , City J~b Number Q1. (J I ")LI ).61. 3. COMPLETE FEE SCHEDULE BELOV New Residential-Single or ~ Multi-Family per dwelling,unit. Service Included: . Items Cost. Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Bome. or Modular. 'Dwelling Service or Feeder $ 85.00 $ 15.00 .$ 40.00 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 D. 200 amps"oT less \ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits " $ 40.00 $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder'Permit $ 35.00 S 2.00' E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res --L-- $ '20.00 ~O Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL W.t20 /, <f~ .1; 2.. '2., tOO