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HomeMy WebLinkAboutPermit Electrical 2000-10-27 . DEVELOPMENT SERVICE~AAR'7'MENt'ct as :~u"e speciJ;c land use .:;::' Oul r . . ~~:;~~e~1'(OO-l-251 ~_ ~n(U 20nin~_.,_L~_ ~0 Date. ~ 97~~~oTlzeo SI9h&'h..ll'l::.- 726-3769 ,- 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. I ~CATIO~N OF INSl'ALLATICW I -1-C^ I c=., 1 (\ J, J-.,. A___ , - - LEGAL DESCRIPTION 0 If z.o () \ 703"3. S'-( I l JOB I:!E~qrPTfON () J LP D:J:[!jI _./J I fY)/)r! L Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days.' 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (54/) 726-3689 llt.ECTRICAL PERMIT APPLICATION Ci ty Job Number(~() - 0 ( 5'9 S- .of 3. COMPLETE FEE SCHEDULE BELOY * A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items 1000 sq,ft, or less Each additional 500 sq. ft ,or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders _~ _ " Installation, Alterations Electrical Contractor~J-')I-1 r---C"Iff)J71:,or Relocation: Address,;.) (jIoS / I "), / )'th 4::\::; I ~ 200 amps or less r' '" 201, amps to 400 amps Ci tye..UjE'. n(? , PhonU7. t") 7- -.:;{) 401 amps to 600 amps . ' 'i 601 amps to 1000 amps Supervis License Number,1'67,?7 ~'S Over 1000 amps/volts Reconnect Only Expiration Date ill /, /01 '. , Constr Contr. Numb,: .J6i:1.9;;l, q :;:::::::~~'~~~l.~::~::,t/ Ovners Na<ie cd. (y)l1.J\.0:;rn& Address!JQ!()lt4 PAJ.1{, Jj-. City E..u.a;/Ll..- Phone Tyll-f/l f3'1 OYNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT II: RECEIVED BY: /0 27 en:::, 5h '2- 7 .J).$ Cost Sum $ 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 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 volts D. Branch Circuits Nev, Alteration or Extension Per Panel $ 35,00 ?6. tfJ One Circuit Each Additional Circuit or vith Servi~; 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 $ 40.00 $ 55.00 $ 80.00 see liB" above $ ~.DD 2.00 not included) $ 40,00 $ 40.0@ -l $ 20,00-':;:;55 $ 36, ocj:g rT1 u; ("")~ Ll-::;;C"J po" ~rro4<,~:=1 ~;r::.p,/_ "oJ 6 ~~~i~ "~jT\ "" .. ...,