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HomeMy WebLinkAboutPermit Electrical 2000-2-17 f!-. Of!::.::: (l}tJTEr' N () / *' fk;lJU LEtJ 'lET - -liS;c I ~ 812- S.NGFIELD 15T /fe/AIL IN I &-:tJ{J/c DATE:FEB 17 2000 AMTREtD: 2 $ 21. 60 2 $ 38,88 The following project es submitted has the following 2 $ 62,12 zoning, and does not require specific land use CHANGE: 225 FIFTH STREET approval /1 c- ELECTRICAL PERMIT APPLICATIOtt:ASHIER:059 SPRINGFIELD, OREGON 97477 Zoning L-- . ('I INSPECTION REQUEST: 72~-t.769 d- - 11.. cro City Job Number OO-OO~.q-u\ OFFICE: 726-3759 a. rx..\ Autnonzed Signatur. ...:::::' f' ~ rnM1>T RTR FEE SCHEDULE BELOII 1. LOCATION OF INSTALLATIO~ I nil mf1 :l/1A. S-rue e:;f- . A. New Residential-Single or i r033'5'1/_ 0 Mul t~-Family per dwelling uni to LEGAL ~~S_CRIPTION /. () _1Sg'(};SerVlCe Included: ..(2~J) tp)LA C,F t:'c" I nIL \:::; Items Cost Sum I JOB DESCRIPTION ,ILIJ -:;eT ( A e (T<1 A-LTl F=- /VI ! 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 Contractor 1li)/5C"'vrAr,'tj Address ((:;--0 I Pf'oJ ~ 5,-J- .. CitY}::=1J\Oj q7L(DJ Phone5Lf2-t2,1'2;:>. Supervisor License Number ~c;-~ ~LtE Expiration Date ro/rlo'L Constr Contr. Number t;Q9l.fc.( Expiration Date <;- /7 / Zot'J1 Signature of Supervising Electrician #J.4-AA- ~-~ Own~rs Name S {j B -=-- A d,C:; 0 CitY_~ rL OYNER INSTALLATION <c;t, 7f.{'(p -fl( c:;- ( Address Phone The installation is being made on I!roperty I .own which is not intended 6~0:~3f~B~~ale, lease or rent. :39N~H::J ZL'O $OVners Signature: 8B'8~ $ l:a::J3~ lW~ OOOl 81 83.:l:31~a ~~9000e-te~~---------------------------- DATE: RECEIPT 11: RECEIVED BY: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular .Dwelling Service or Feeder B. 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 $ 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' 'OT 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 "B" 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 Energ~~ Limi ted Energcomm /~ SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL 5. $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 1b',OO () ,L:,;). /,0/1. 7 '-I.r;o