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HomeMy WebLinkAboutPermit Electrical 2000-11-14 The foll(lwif19 Dro;ec, as sub . . Zo"ing ana aoes not re . mltted h.B.s the fOllowing approval - qUire specIfiC land use Zoninr' C!.e- ELECTRICAL PERMIT APPLICATION . I H'f-6TJ =f\,'I<. 225 FIFTH STREET SPRINGFIELD, OREGON 974b~le ~. INSPECTION REQUEST: 726-3~bj OFFICE: 726-3759 Autno"zea Slgnatu'e 1. LOCATION OF INSTALLATION \ 39'7 S- ;?f,J(Lc.cu~ {2., LEGAL DESCRIPTION /702ZCOc> 00700 JOB DESCRIPTION /D #lJfJ/"fI6IVlH ("" \ 42.L..-.....,!S 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 contractor~NS E/t.c../rl'LCo. Address "j)"",-- A-- City h4-1\ Ci.ti.J:_ Phone~'U-1B1S Supervisor License Number ~ 35'1-.5 Expiration Date 10/0 I ( / Constr Contr. Number /tJ'2-3/1p Expiration Date IOle,' '. I ~ture of SU~rC:::ian owner~Ltd.l r~-,,-k. Address '3 '1 '7 S~ Il1;ftQ CoLA- 62il City <;:;p~{\ Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~-----~~-~~~~------------------ RECEIPT 11: "], 7}) I ,RECEIVED BY: fIo. Y1; Ci!=y Job NumberQO -0021<1 -Cl ( * ~u~F~& FEE SCHEDULE BELOV . A. New Residential-Single or Multi-Family per dwelling Service Included: 1~00 sq.ft. or less Each additional 500 "sq. ft or portion thereof Each Manuf'd Home. or Modular'Dwelling Service or Feeder 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 unit. Items Cost Sum $ 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 $ 40.00 $ 55.00 $ 80.00 see ttB" above New, Alteration or Extension Per Panel ," One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permi t (D $ 2.00 .2 0 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) $ 40.00 $ 40.00 $ 20.0OD , $ 36.0<80::0 ~ ::0 -l :z rT1 rT1 CD n.. ** =.. ;Q .. 00 .....~~ ::c I :?Z~ M=c -':.;:g :...--- :; 2: r:3 ~ C3 om- 0-:] D" IT1 C) C) OJ ~..oo......... 2.0