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HomeMy WebLinkAboutPermit Electrical 2000-11-3 . SPt!t.FIELD (YT>I - aJnlau5!s paz!J04In\f I (l.Q-'i;// V'({1 oJU!UOZ 5 'IBAOJddB E CTRICAL 22 FIITH STREET asn PUBI Oll!oads 9J!nbaJ IOU saop pUB '6U1uoz LE SPRINGFIELD, OREGON 1I).i11o\iil1~j a41 SB4 palllUJqns sa,oafoJd 6UIMOIIOj 'a41 ' INSPECTION REQUEST: 726-3769 City Job Number OFFICE: 726-3759 1. LOCATION OF INSTALLA51N ..t- fl eLl.5 m ~ :i'l.QVb LEGAL DESCRIPTION JOB DESCRIPTION F; ~ Do.l'V\.~ Jl' ~1.v.'v"Z Permits are non-transferable and expire if vork is not started within 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractorf::.5 ~(~_ AddressEr./:) <D1S'K ri-4C1 Z 7, Ci ty f..'-LCP^,.e.- Phone (., A(,-"~~L r Supervisor License Number :20 -rl~C- Expiration Date / ^ I -" I Constr Contr. Number ")068<1' Expiration Date 1'1--<.1\-00 Signature of Supervising Electrician <r;~ ~A~ / Owners Name t t.1tJ RtF, r: p ~ Address ~~ City Phone OWNER INSTALLATION The installation is being made on property I ,ovn vhich is not intended for sale, lease or rent. Owners Signature: f/-03- 0 aJ .:<...O~ W.S DATE: RECEIPT 11: RECEIVED BY: PERMIT APPLICATION {JO()/O"3;}-O'! * 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof, Each Manuf"'d Home, or ........., r/l', Modu~!!!;cp,~ellillgr'i;; , . '. ,_. Ser.vrcero'r"Feeder ), ',If <] $ 40,..00: """''"t 1352-0 "'-' IOUI> , r',OOn 1.;/"1,. 099Ci y... O)-OU'/I, t,U1ti~_" , ,"'''' Servl,ces o'l! rF.eeqers' ,h'ouqr, 0 ." - ~9' '': Ins tal1'iit, ',ion', c'Al'tlfra Hons 'OfAH 952-0Q' 'I('illn,. Vllf'H ',. "U," "h'" /- or Reloca~'l"OJ:.ld._ O~~ ,VOt, :'.);.;.- (~, .- (lJfSs b ...., _: ....Po., ~~;' .....'.a,onon~ J 200 amps or less ': ,;:.J!I.' '\IO$fifJ/J.;(Q9 201 amps to 400 amps . '''''1$ 60.00 401 amps to 600 amps $100.00 601 amps to' 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 1.t;~"rJ T ' Ci::. S' F d 'emporary. erVlces or ee ers ih1h:fflatoi,on, Alteration or Relocation AUTHORI;~ ' ot1ALL ~XPIRC: (4...Q9.'vi~!llP~'~diJ~tE1.~h/.J/~ '-' IFTHf= I!v~) 40.00 A,?l2-~ amps:LteJ,c.4.9,q ampsoFRA"~ .$1"55.00 Ovef.O~Q.:J.1 tE,., 600,fampJ\"1' ,__'" IS '$eliO. 00 Over 600 ~mps)l9.r 1000 ''vo''I'(jHsee "B" above alBa 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling Service Included: B. C. D. Branch Circuits 2 DATF:NDV 03 2000 AMT,RECD:2 $ 110.00 CHANGE: CASHIER:059 unit. It ems Sum f?S.00 /5.QtL Cost 1 I $ 85.00 $ 15.00 .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 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) $ $ $ $ 36.00 lro-~ 7.0l? 3. a::: , IIG>_~' 40.00 40.00 20.00