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HomeMy WebLinkAboutPermit Electrical 2000-10-30 1 DAliE:OCT 30 2000 AMT RECD:2 $ 22.00 2 $ 22.00 CHANGE: Il:':::-F-\ICAL PERMIT ,APPLICATION CASHIER: 059 Ci ty Job Number IJ 0 - 0 I 0;;),9-0;- The following project as submitted has the following ;z:oning, and does not require specific land use , approval. l rf. 225 FIFTH STREET Zoning J? SPRINGFIELD, OREGON 97477 Date 10 ~ ~ -~ \ INSPECTION REQUEST: 726-3769 1V--...J OFFICE: 726-3759 Authorized Signature 1. LOCATION OF INSTALLATION X7i./ /h1',/'~./I'2 ;1. f.nM' lOr. / LEGAL DESCRIPTION JOB DESCRIPTION ft'rnt"f7d ,Pm rq f{ /St.e.u.o:t:y <."-7;~,^- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. COMPLETE FEE SCHEDULE BELOV New Residential-Single or 1!' Multi-Family per dwelling..uni,. , Service Included: . It ems - Co t ' 3. A. 1000 sQ.ft. or less Each additional 500 SQ. ft or portion thereof Each Manuf'd Home. or Modular'Dvelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders , ,Installation, Alterations Elec t rical Con trac torO".!1 rv..D,J ?J 1/::fLi2.01. c./Y or Reloca t-~8!l':\JO\-'l'~ 01'\\.it:.. ,\ 1=1-1"\p.E.\l'" n ':\'15\,\01 Address P O. /l,,, x '105'1 t" \'\ -~qM\\ St\P20.0' 'f,!'lppror"^l~;;~ r. \\-II~ r~' .~cD \)I"20f\ ~nH~~ C~.q?-400' amps Ci ty r, aO I'M Phone 5'1' - </&<(,,,,92J\?g- Oa.Q'!pamps) to 600 amps t . ,- ,~E.\,\CE.D 601,\amps to 1000 amps Supervi.sor License Number 333/JiJ're" ODP.'{?'{i~'er~1000 amps/volts p.\'l'i \~ Reconnec t Only 'Expiration Date /6?(jl-l C. Temporary Services or Feeders Installation, Alteration or Relocation ~. liteS '10U.t\~" 200 amps::oi'3'l:!!_~sJn UtI I, . $ 40.00 201-amps .to) '4001 amp.s\O"" $ 55.00 visi g El ctrician ,...' \ <:." \~Q;>[eftr~.oj;stoIl600~~p'S_.\)\W $ 80.00 \01l0""{~ l'I-&~~r;\600\l:LlI!l1.s,Q)r\lmB9J~vO"its see lOB" above ,,~\i\icat'O [\()~_()()~~~ _00i8'3 0\\ v ~One Op.m15Z-BranchCl.'(;;ircuHstO\3? ",>',On II D ('I" \l fit'" - 'NO'''''' N \\\\C,,\ Name '1~'1 (Ju'''' I'D,nlZ.L.L& ,')o,(). O,..."cen'S!.\ 1l.\\iW' 0 t ' -callinQ New,DA'1:ter'J.tion,ro'J.',)Extension Per Panel Address, Iii 1/7-,,'4 /1,,4. /), don,<,-,,,~'\.'l"" J? 7;./~ (-r;tL'f.uJl rtV~' ,,",noe > " ~ne'Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit Constr Contr. Number /if'<lu!?5 Expiration Date Si71JlJ~ Vv Owners Ci ty ~'" 1 t.'? I Phone fl'/ I-q g'-l- OO:f- 0 OVNER INSTALLATION The installation is being made on property I ,own whiCh is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: Sum $ 85.00 $ 15.00 ,$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 " $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res I $ 20.00 ~ Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL 'JO,fm I, </0 .1,0 2'2.lm