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HomeMy WebLinkAboutPermit Electrical 2000-12-19 . . SPRINQFIELD ~C: ..'t::"'01-'-I~JEIJ /" :;;::.n' viC:=~ LJ'1tr~'~(tJiiMg project 85 submitted has the followin zomng. and does not require specific land use approval.. (lv Zomng 1.;J.- \Cj - (ji) cKuJ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 974770818 726-3~1ll9',zed Signature 1. LOCATION OF INSTALLA'I;ION '59'1> /TJafrt.IJ/ A 170..=00 LEGAL DES,cRJPTJl>N ('.//11 d J 'KJ> 00700 /' .", /1 f~ r ,1011 DESl;RIPTION L. m d.../ E/l'r'I'ill Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ADT Security Services Address 4660 Main Street. Bld2 A. #100 City Sprinefield Phone 736-4973 Supervisor License Number ~y JLE Expiration Date 10/01/02 Constr Contr. Number 26209CLE Expiration Date 10/01/01 Signature of Supervising Electrician ('~ Ovners Namell, e- r ~ rf j 1, ~ --h-.a Address .3 9'7) /rlMLLo(,tL.. I2d City 5 f /.:: \~ ----- Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: 'DATE: A.t..\,,~J..:l' I: RECEIVED BY: 121'70--= "-'a YCYi I 225 FIFTH STREEr SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 ZI.EC'RICAL PERKIT APPLICATION "... LY Job Number (90 ~ 002., '-{ - 0 I COMPLETE FEE SCHEDULE BELOII '* Nev Residential-Single or Mul t i-Family per dvelling uni 1. . Service Included: 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 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 Items Cost Sum S 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits Nev, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 40.00 $ 55.00 $ 80.00 see "B" above $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL not included) ::D ::J: ~ $ 40. 00 ~ <:::l ::0 ~::D $ 40. 00 ~ rt1 &.i $ 20.0n c-J...,. n l:g-h. $ 36.0l26 ~:='l ::I: I :3(- oohig"'~g Y?, --:-...... c....J (;) .-:z::....oN~ ~~. 00 0" rn 0'> 0 -J ._~~.oo~ 31foO