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HomeMy WebLinkAboutPermit Electrical 2000-7-10 . . mittad has tha following The.'ollowing proJect ~s :~~ire speci1ic land .use zoning, and does no r approval. J-..D~ Zoning - "." ,-I b - U' 225 FIFTH STREET Q.ata '~ SPRINGFIELD, OREGON 9747] s' tura_ INSPECTION REQUESTf:Ulh"1~~-3'1lg~ OFFICE: 726-3759 1. LOCATION OF INSTALL4TION ]5 J7 5" /l-7 ",c//,-- LEGAL DESCRIPTION JOB DESCRIPTION .' 5/ '7,.-z..- 0-//C/""'5 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 ,B. Electrical ContractorALlLr- ELt!"C. Address ,..::r./" / / /-7/J //1/ - City ~r/c.p Phone.?...2.t' ~7CJ/ Supervisor License Number ] Ok.) J Expiration Date /tJ///o/ Constr Contro Number ::l-cJ.J G' ;z. c Expiration Date /0// /0/ Signature of Supervising Electrician A~~ Owners Name t/ rE /V'~.n/O..o//t.- , }fr.F /VlA"/V Address City f tfP /"c. & Phone '?.2 C rf7 () OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, lD-ll.01.~'il~~:8rrlgna ture: JI~lJ313 318~/91.gl000-10:#ldJ~ g0997h_^^00~ O^7'j'~rl! . u'l _\....;..1..... \Jw~. ,I' Ol'1 $/~IT~:(/o002:01-1nr--------------------- RECEIPT lI: RECEIVED BY: ELECTRICAL PERMIT APPLICATION City Job Number rJ1J ~ tJ /0'7.;2.-0 I COMPLETE FEE SCHEDULE BELO'll * New Residential-Single or Multi-Family per dwelling unit. ' Service Included: Items Cost Sum 3. A. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling 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 S 85.00 $ 15.00 $ 40.00 S 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 liB" above " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting /' Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35,00 $ 2.00 no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 J"P .Oi:> ~ vpO 2"V<7 /...:z..Q joL 'r- ..C"7