HomeMy WebLinkAboutPermit Electrical 2000-9-7
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The following project a b' .
zonlOg, and does not ~eSU .m~'tted h,a,s the following
approval. qLHr clfle land use
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225 FIFTH STREET 20n;ng-01-' lA>L
SPRINGFIELD, OREGOeaty"-'.:: '"'l-,-~
INSPECTION REQUEST"utnU'r~cr~7g~2'ure W
OFFICE: 726-3759 '
3.
TRANS~:01-0003138
DATE:SEP 07 2000
AMT RECD:2 $ 88,OQ
CHANGE:
ELECTRICAL PERMIT APPLICATIO~SHIER:0:9
City J~b Numbern()~O\::,Sd---O
1, LOCATION OF INSTALLATION
/.4~.1 /"'7"t).I;r s'~/
LEGAL DESCRIPTION
[:10,-" 'S'-/ \ () <?':f{){)
JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not sta~ted vithin 180 days
of issuance or if vork is suspended for
180 days.
City ~tp./cp
Ci ty
.J.P .J"'('.?'
OYNER INSTALLATION
The installation is being made o~
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT ll:
RECEIVED BY:
COHPLETE FEE SCHEDULE BELOV
Nev Residential-Single or *
Multi-Family per dvelling unit.
Service Included:
Items Cost m
. A,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf/d Home. or
Modular'Dvelling
Service or Feeder
S 85.00
S 15.00
tP
S 40. 00 ~ 0.
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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2. CONTRACTOR INSTALLATION ONLY 4B~ Services 0= Feeders
C / J. l'lil. - ~ans talIa tion, Alterations
Electrical Contractor Aff L-F ~,-~t;,/ ;S.o~l'>o<r;Relocation:
. Ul'lia '1'41/)0 .
Address ,.5 f / / ~ /J /,/1/ . 0041"., ~{>~2_001l,~lJ'ps or less 2Zf
'IVy '~J1IC 20_~v,amp~-tto 400 amps
Phone 7~ t' ~7 Cl /80D ~C~Q) ~a:9PF.lt:9~600 amps
~YA 601!.sam'ps*~to ,rqoo amps
SupeL'v'isnr License Number J (J ~J J ~;Y(Ej,("I.j;q,Q,Q ra!!tP,~'lt'C)1 ts
A/-/ / Reconnei:'tc,onlYI'I." O~\-
E:xpiration Date /., / 0 V<:,> '-'A.
Vf::r.,_ 'v(",
C. Temporary Serv~ces or Feeders
Installation, Alteration or Relocation
Cons tr Con tl:. Number :z...CJ ;;W(..~;2. C
,--
'/T/eq 'VI.
Expiration Date /(;) //,(It?41"/}1~1J~<ia~. _. 200 amps"oT less
'-~ Y; -C1.?-n-~I)/) ^'1f:!O 201 amps to 400 amps
Signature of Sup~rvisin~~:ji,lJ.et.t'-~cipllf}g' rl" OYfl1. O,ver 401 to 600 amps
;J ,~~~'fll}f:! <lyoo lOfI1.0S~r. 6(9$'er 600 amps 0'" 100u voHS
.:?""o/ ..v>? ~ 10,. csn1_ 1il/IJ. "Oil U1f:!.s 'OOr,
- .'?. .'/'@O/J-~ (IV, .v.o/&.B'!O"tIl'ta~cni,.circui ts
O....ners Name ...?',:l''''''-- J..//V/(Y; . ~1l,,~OI&'tl).sOft,,1Y9S;flo .
", ,<I~i'/I\ l?,@~ N~,"(~lteratlon or Extension, Per Panel
Address /.:<,cy /"? ',,_7'1lt. ~.o11 l?S,
. "~-1/t/~i:gR~< Ci =cui t
Phone ?~ __';]:;J..j E~ch Additional
Circuit or vith Service
o~ Feeder Permit
$ 40.00
$ 55.00
$ 80.00
see "Bll
above
"
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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