HomeMy WebLinkAboutPermit Signage 2000-2-2
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zo~n~'~oa~~gd~~le;~~~eStibml{jed he,S the loiJoWlng
approval. QUlle specifiC land Use
ZO~inr' L0 ELECTRICAL PERMIT APPLICATION
971t17 .
ffl~31 :.; <. - '2.. - j
Authorized Signature ~
- '.:l.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726~3759
1.
LOCATION OF INSTALLATION
?/.:z70 A1A; ft ~+-,
LEGAL DESCRIFTION
\10').. ~2 ~ 1
11 JOB DESCRIFTION
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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
Electrical ContractorSYI1- ICe. <::';-1'''' S
[') ~ /I... '1 01-1.
Phone.!Z9'6 - 7(f2
License Number ~5~ <:..TG
Addressf.5 '::>/'1
City!Et/<;~n..,
,-
Supervisor
Expiration Date/7/ /0 Z-
Constr Contr. Number '?'O'lZz..
Expi~ation Date ~""I"~ ~t7/
Signature of Supervising Electrician
.~,;t_..'-~~.: n D.
Owners Name .D/'HH/5 M< CVVlIj{1A
Address5S /~ rnO_;n <\tre.er
Ci ty SfJfir(jji p t1. Phone 7~6 -//5(..
OWNER r{lIIrALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~i~~::~:~-~~~~----------
00446
2000
AMT RECD:
CHANGE:
CASHIER: 042
(\7) - (Jli I ~S -0 I
City Job Number
A.
C9MP'VTE FEE SCHEDULE BELO\l
New Residential-Single or ~
Multi-Family per ,d",elling unit., '
Service Included:
I tems Cas t Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
S 85.00
S 15.00
S 40,00
B. Services or Feeders
Installation, Alterations
or Relocation,
200 amps or less $ 50.00
201 amps to 400 amps S 60.00
401 amps to 600 amps S100.00
601 amps to 1000 amps S130.00
Over 1000 amps/volts S300.00
Reconnect Only S 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
S 55.00
S 80,00
volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or ",ith Service
or Feeder Permit
S 35,00,
S 2,00,
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting <
Limited Energy/Res
Limited Energy/Comm
1')..0. -
not included)
S 40,00
S 40.00
S 20.00
S 36.00
5.
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t \.3_~~g
::0 :D ::0 0
.. ZlTlNO
o en C"J 0 .p.
~mcoc.n
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SUBTOTAL OF ABOVE
1% State Surcharge
TOTAL
3'70