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HomeMy WebLinkAboutPermit Electrical 2000-8-30 v -"'I:'!l .. "'~$ ~Ol)~ IO.o,O~~ ~~ -~,~ '''i). ;0 "0, ~~l.t6 ELECTRICAL PERKIT APPLICATION 9l.tl "''i" , A,::>I\" "\ '$")Q "o-~ City Job Number.1lJ . U~ . U %,..~. ' ~ 7~' 0: . COMP~qlEE SCHEDULE BELOV O'~~ e esi~en~ial-Single or . ti amily per dwelling unit. er 'ce rncluded: () "'$ O/l.t r~ SPRINGFIELD, OREGON 97477 11r~$ INSPECTION REQUEST: 726-3769 O'~~ OFFICE: 726-3759 ....~,,, . '6 225 FIFTH STREET l.\ct<}]:AO~ IN~~~NQJ J!l~~~(}1 r\I'"\AOB q~~~ru C'ft\tU\OL ~\\ - () Permits are non-transferable and expire if w6rk is not .started within 180 days' of issuance or if work is suspended for 180 days, 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical contractor~~ ~~ AddressR9'97b' /J~ LdA/~ ".--./ , City E/.lift"?Ne: Phone~.b--oqC.5 Supervisor License Number ~~~~ Expiration Date /0/// CJ/ ; C. Constr Contr, Number S44'.~/ Expiration Date q /.2JC; / t/tJ , Signature~ViSing Electrician ,.of J~~ lnl~ rObik3JO feR] Q{JJ! Ownel-s Name Address'4; City~~f\~ Phone O~NSTALLATION The installation is being made on property I own which is not intended ~00:~3IHC~a sale, lease or rent; : 39N\JH::1 DO'S $ zOvners Signature: OO'OS $ G:a83~ lW\J OOOG 6G ~'~~ ~90~000-bRt~r------------------------------ RECEIPT a: - RECEIVED BY: *y " ..:: Items Cost Sum ";,1 ,~ . ,~ 1000 sq, f t , or less $ 85,00 'oj " Each additional 500 sq, f t or portion thereof $ 15,00 Each Manuf' d Home. or Modular 'Dwelling Service or Feeder .$ 40,00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less l 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect'Only $ 5o,oc5D.rP $ 60,00 $100.00 $130,00 $300,00 $ 40.00 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 $ 40.00 $ 55,00 $ 80.00 see "B" above ,\ '-I ~ .,t.,: D. Branch Circuits New, Alteration or Extension Per Panel One \';ircui t, Each Additional . Circuit or with Service or Feeder Permit $ 35.00 : '.4 " $ 2.00 ., , "1 not included) :~ Miscellaneous (Service/feeder -Each installation Pump oi irrigition Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 57. State Surcharge 37. Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 .r-:"1"'\a) ..'" }. - 0')". '.::>{..) J'Y 1 ,t:::;.h.UU . 'Il~ -:?~~ . ..,~ ',,::; "j ':",' , . ~ ;'j "!,