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HomeMy WebLinkAboutPermit Electrical 2000-5-31 Th(; 1ollowlng prUjl,;;C' t\: ~-..l~p...'~t':'r: :->."~ !1'1~ l"\l\owlng zoning, and does not require speclflc le.na use approval. c.. c- Zoning 5- '31- (TV '\ Date "/vI.J 97~~I.J""'\.;'J ~.yrIl2\",rU 7~b-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION <J~'/./ .M~/f' ?, LEGAL DESCRIPTION /7~:2~'2r/, ~6~ / JOB DESCRl}!:l'ION ~ a ./IY,~~-/,iPJ ..~ '/Y~~ Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY , Electrical contractor~;.?;( ~/~~ Address? l '3 S~ ; 6*i t,J//...t> ~ CityGAlr4<VtJS-d. Phone rP;.r-J'~ 0 Supervisor License Number S ~;t. tF s.. ExpiLation Date410/ U/ Cons t r Con tr. Number /, ~ 'J "7":; Expiration Date J7--J ~II ~~ ( I Signature of Supervising Electrician ~V~ Ovners Name.fl1 V~~ Address ?~ ,i5'~ "'5'2- City ~P''''";;If. Phone ~~.~~ :r-;'- /... 97~ ' OWNER INSTALLAtIO" The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: ru..",~.Lrl fF: RECEIVED BY: ELECTRICAL PERMIT APPLICATION 3. City Job Number~4-(~-AI COMPLETE FEE SCHEDULE BELOV Nev Residential-Single or ~ Multi-Family per dvelling.Unit. Service Included: ' Items Cost Sum $ 85.00 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 ~~ 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 $ 15.00 ,$ 40.00 I ~~- $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see ItB" above Nev, Alteration or Extension Per Panel " One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit lel $ 2.00 ~ not included) 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 $ 40.00 $ 40.00 $ 20.00 $ 36.00 '7LJJ. ,0 7'.~p -2 . /P.. -?? -..,. &>