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HomeMy WebLinkAboutPermit Electrical 2000-8-29 eNGFIELD .., I.. The fOllowing project 8S ' lonlng. and does not r SU~mltted h.a,s the fOf/owing approval. squire specIfiC land use loninr' Lt,fL Dafe 1$ / 'ZP\-Oj) tlLEGTRICAL PERMIT APPLICATION 9~i~h~Mignature 4')~ City Job Number 00 -C::08'"3'1-0 ( 3. COMPLETE FEE SCHEDULE BELOY 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION / .s 3d /"Y)/1 n S..p I'f> I (;t' LEGAL DESCRIPTION OSLlOO 17D37_-<; 'y..{ ( JOB DESCRIPTION . i1 fWd .CJ,b.ptYltll/ -ft'J ~)(,.s:f~ 1-1l.s.. Permits are non-transferable and expire if vork is not started vi thin 180 d2vs of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical contractor~~lKi:riG Address 'Pd ~())' A ,/,J)"IJ 3 , ' Ci ty fuq t). n P Phon eSt/ l-to 8kalabS Supervisor License Number ~~~ ~ Expiration Date J{)-O/-O/ Constr Contr. Number 5/()l!1 Expiration Date 0(, -~7-() / Si~a ~e <y( Su ~;- / ~vners Name 3"'k......... / S c..'" /J ,^-P~ D. Address :5:..s 2-. Mtf#SFrE---r....(\ Ci ty S P ~O Phone 72-b 57lf7 OllNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ---------------j7i- --~- -------------- DATE: c:::> go- Z9' DO RECEIPT 11: "3 oS? RECEIVED BY: ~ A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular 'Dvelling Service or Feeder ,$ 40.00 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 5dOO 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 C. Temporary Services or Feeders Installation, Alteration or Relocation, $ 40.00 $ 55.00 $ 80.00 volts see I'BII above Nev, Alteration or Extension Per Panel .' One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit ~ $ 2.00 1~.t)O E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE' '\ ~ State Surcharge 3% Administrative Fee TOTAL