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HomeMy WebLinkAboutPermit Electrical 2000-1-21 . . raise as su mitted has the followin zonmg. and does not require specific land use approval C-c... f -d.-/::J DAT : 1 2000 ANT RECD:l $ 40.00 CHANGE:$ 0.40 . CASHIER: 004 \" " Zonin'" D;;ite ELECTRICAL PERMIT APPLICATION 225 FIFTH STREET ' ';"("o"z~a Signalure' SPRINGFIELD, OREGON 97477 ' INSPECTION REQUEST:, 726-3769 OFFICE: 726-3759 ' City Job Number ~ .~9~.O/ * 3. COHPLE~E FEE SCHEDULE BELOY 1. LOCATION OF INSTALLATION I ~ I..J LJ, !Yl~ j I::I-''S+ r1-~:d- . '5P'r'll"q::,,-e lei LEGAL DESCRIPTION /?~;; ~ L./ 2 _ .::'c:> ;:>;::::g,' - __ . II' Nev Residential-Single or' Multi-Family per dvelling unit. Service Included: A. Items Cost 1000 sq. f t. or less $ 85.00 Each additional 500 sq. ft or portion thereoJ $ 15.00 Each Manuf'd Home, or, Modular'Dvelling Service or Feeder $ 40.00 Sum JOB DESCRIPTION 1: 1l.J c; ~_1I c;- e'C" U v- ~J:;j ,r::::..lr..~_ , Permits are non-transferable and expire i,f vork is no t started vi thin HiD days of issuance or if vork is suspended for , 180 days. ' 2. CONTRACTOR INSTALLATION ONLY Services or Feeders Installation, Alterations or Reloca t ion: ' B. ElectricaIContractorj":,{Ohn.\ ~AJv-1~_ , ,.Address 1...\(.., Ivv~lU~ Tl",~L .' Ci tY€D"j"'tVCO. Phone..:J.I-, 1-<1(.,<;-=r SupeL'visor License Number n/~ -:;)... cT L E $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 a.mps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/vplts Reconnect Only 10-0/-,-0:1- Expiration Date C. Temporary Services or Feeders Installation, Alteration. or Relocation Constr Contr. Number;)..fo-ill LLE.. I~ " 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100U ,$ 40.00 $ 55.00 $ 80.00 volts see "B" above IO-n{-o() Expiration Date SijJ:t;'J;;;;i"' '~""dd~ D Ovners Name 13, Uy.- A-bc.r_~'€'I/...d qL_ Address -9-3 3"5 DU/.,pLI< LI"rN<Q...- CitY~Y~I-'1C::;?kI Phone 747-SDLfb OYNER INSTALLATION Branch Circuits .' Nev, Alteration or Extension Per Panel ," $ 35.00 One Circui t , Each Additional Circuit or vith Service or Feeder Permit $ 2.00 not included) E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting----- Limited Energy/Res E-' Limi ted Energy /Comm ~ The installation is being made on property i ovn vhich-is not intended for sale, lease or rent. . -e. Owners Signature: $ $ $ $ "3..4. ~ ::? -:>2. ' / . ~S1; ~~. ~.? 40.00 40.00 20.00 36.00 , , . ... ...Q,.\:..::t;.$ '<;9("V-'~ l.J..o'\"" <9-"f'~~'" :rsl."~ 5. SUBTOTAL OF ABOVE ~ State Surcharge '3% Administrative' Fee TOTAL . . --------------------------------------- DATE: (, 2/-e::t::? . RECEIPT : ,?~~-? :2 RECEIVED BY: .......-:;; /'~ ...../L- ' , ,