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HomeMy WebLinkAboutPermit Electrical 2000-6-29 . \ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REOUEST: OFFICE: 726-3759 ,,<0 0~ .~" <;"" 1>,0 00 Q ~\1,: 1. LOCATION OF INSTALLATION~"'\"o , /)JLDr ~ ,,~C> 0 ~ 7'. s-; 7',( h 4! ,0 -1/. . (- I rtD~I~ 5' JOB DESCRIPTION , hvrfLA... bD0 A <:::::t?2,U/U)_ . . 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 GCof3c- ~, Electrical Contractor Address .3<:; 5 tu b Il--I'I,J) Phone 68 S 7,:::nl License Number ;,x-iY S Expiration Date /O~LbO( Constr Contr. Number I D 3677 Expiration Date /'-'Loo( Ci ty e.v'\~ / Supervisor Signature of Supervising Electrician ;jly-. -- Ovners Na~~-!-h.l Qon.~n \fN\ Address~_4:- ~ Ci ty~ _ tL. Phone:l!iJ .5"\ la:J ~STALLATION The installation is being made on property I ovn which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT #: RECEIVED BY: SPR_FIELD i.. '- 0 AMT' RECD:2 $ 55.00 CHANGE: CASHIER:059 ELECTRICAL PERMIT APPLICATION Ci ty Job Number rD . t()~\(').()1 COMPLETE FEE SCHEDULE BELOV 3. A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 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 Sum Cost $ 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 "B" above " New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 35.00 $ 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 >'092 ~.; e~ - -