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HomeMy WebLinkAboutPermit Electrical 2000-12-15 41-- 440-0. . The. following project as submitted has the following zonmg, and does not require specific land use approval. Zoning ~- C.f!.- 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Date /':>-OJ) cx...) 9i7l1lqr1led Signa lure 726-3769 1. LpCATION OF INSTALLAT~ 422C; /rJ1J/A/ >( LEGAL DESCRIPTION \702....'32.">2 O( '7~ r JOB DESCRIP1JON <;rtJiCtE ~~PI::9-Z- Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. Electrical Contractor L.-II- JAIJIR6 Eft1!/;- Address4l?'3. SHeLL&<-." S.., Ci ty <;peO Phone ,47 -0 rlf i " Supervisor License Number ~_S Expiration Date L6 tOl ( L':> I Constr Contr. Number Of ~-;&- Expiration Date b~ f( - (J { Si~a~e of supervis.ing Electrician ~ -.-yI)-iJ'''?-- Ovners Nam( I=; a, "T,," bbf-.'l-?/~ "- . ; 5~ CAss. 4- 3G'1r Phone b 77 - 72L{ '7 Address /'2-"7 Ci ty eo- Se-lI-..v'c, I 01lNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: ~ z. ( '5""C> = <.f03-" ^'!?-.a - ELECTRICAL PERMIT APPLICATION City Job NwnberDO- Of 77(- 0 I 3. COMPLETE FEE SCHEDULE BELOY A. Nev Residential-Single or Multi-Family per dvelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular'Dvelling 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. ~ cos~um $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits " Nev, Alteration or Extension Per Panel One Circui t I Each Additional Circuit or vith Servic~ or Feeder Permi t / E, Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 37. Administrative Fee TOTAL 35~ $ 35.00 $ 2.00 A no t included) $ 40.~ ...... $ 40.m'l~:D $ 20.~rrii'"i'; $a6.~c;" ::I> .. rT1 '-" ~.,~.,. ~!~ ~~U- _.'.'~~.-J "......../. m I...)D -