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HomeMy WebLinkAboutPermit Electrical 2000-4-17 8 DAT~:APR 17 2000 AMT RECD:2 $ 22.00 CHANGE: CASHIER: 059 ELECTRICAL PERHITAPPLICATION . City J()b Number qq...:O l'~q 8:JO { . The following projectes submitted has the following zoning, and does not require specIfic land use approval. i..n (2- 225 FIFTH STREET Zoning. oi> SPRINGFIELD, OREGONdAll<17 H-i7~. ') INSPECTION REQUEST: 72fi-3769 ~ OFFICE: 726-3759 Authonzed Signaturr 1. . LOCATION OF INSTALLATION () ~"" I1flKlt7"9;.t. tr,/Yt Y. LEGAL DESCRIPTION JOB DESCRIPTION ~.iJ)1"'~d 'nlN?l( 1<:;/1'/"-;7/( >n/.'\1z/?V Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Electrical Contracto Expiration Date t/ 100 Constr Conte. Number qf> I'/.") ~ Owners Name tl1l;, /' The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular. 'Dwelling Service or Feeder Cost Sum 2. CONTRACTOR INSTALLATION ONL~ ., 'C:", ,v,'B;,,,,~~e.r~Ac~.:: . or, Feeders . O!/o rules adoPte]jn~talla't'i'OnY,u'Al tera t ions . "0 f, 2 D Qpjjif~r IiEiI6.@!eilBrI.;tilit . v ... ~~2-001-001(]';~~'" 'wes are setfor . Address 10. (J;~'-I n 5 '-/.,<;' J090. You may Obtail49.90lirm'P'S'Pcfr9!Y"ess 1 /' Calling the cenrel ?9jPlfl!ps' l:ta rAQQ li',mps Ci ty 'I',,//:{ p /U . _ Phone 5 ~/-r"l'!l1OO1 ~~r . i4o..]le~,mps'etOJ.t.6.o.Q amps ~,_.." . er61hU<impslcto;c1000 amps Supervisor License Number 3.53/ J LE'" 'Ovei'~lOOO \:amps/'vo1 ts Reconnect Only $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation One Circuit Each Additional Circuit or with Service or Feeder Permit $ 40.00 $ 55.00 $ 80.00 see "Bit above :!07/Cc: ~~~ ::~~. '~~ ~~~s amps gT~~~Cl~~iSAA Over 401 to 600 amps "''''""C I 'ff LlEXF>>/REIPv~~~~mps or 1000 volts " J MILt:U UNDEq THIS PE . ))UiVIIVlt:NCEDOR/SABA~' iM'rta;I\trorcui ts IAJoJvllll'tJ:M1fE: DONEDFOR - . ''''''1.1&.1. New, Alteration or Extension Per Panel Address j} O. f30x ?'-I:L5 City f IlqLL71 Phone S'II<l</'-/-:LIR&O OVNER INSTALLATION .' $ 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 --L-- $ 20.00 to.OO Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL 1..0.00 /'.4'0 .<1(7 '1.'1. .00