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HomeMy WebLinkAboutPermit Electrical 2000-5-3 " 6 DAIE:MAY 03 2000 AMI RECD:2 $ 93.50 CHANGE: ELECTRICAL PERKIT APPLICATIO~SHIER:042 The following projacf as submittad has tha following zoning, and does no1 require specific land use approval. /l 225 FIFTH STREET ,l....G SPRINGFIELD, OREGON 9747Tontng INSPECTION REQUEST:Datnli J7liP <-~- 0"0, OFFICE: 726-3759 Authorized Signature "f)~ j. JOB DESCRIPTION . . '. )tOOO sq.ft. or less /t7/'7.PLF/~ jfr-,..,-//CE tl'l(/)"ftw! I"........./~ach additional 500 , sq. ft or portion Permits are non-transferable and expire thereof if work is not started within 180 days Each Manuf'd Home. or of issuance or if work is suspended for Modular 'Dwelling 180 days. Service or Feeder LOCATION OF ~STALLATION / \.( Y ( /'--1 ~//v LEGAL DESCRIPTION J7..?~~~..2 . ~ '::;'~ . - 1. 2. CONTRACTOR INSTALLATION ONLY Electrical ContractorAL1Lt=' ELt"C. Address ,~f / / /'-? /J //V . City ~r/c.p Phone 7~t' ~7()/ Supervisor License Number J (JL-.J J Expiration Date /IJ///O/ Constr Contr. Number ::l-cJ.J ~;2. C Expiration Date /0// /0/ Signature of Supervising Electrician ./! ~ ~-:~ ---.. Owners Name A,?A>.o'V ~'J,cy Address /".- V f ,.>>-;J ....dV A Ci ty .--f"vP.r~ tt? Phone 7,><' ~ ;f ~J OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE:_ 4"?'~ RECEIPT 11: ~ /t,I'!?,f? RECEIVED BY: ,/ /......--.- _ " ' '/r ,--~ A. City Job Number 99~'(!!)/ COHPLETEdFEE SClHE~ULEl BELOV -"'*,, '.-..r.. New Resi entia -Slng e or Multi-Family per dwelling unit. Service Included: Items Cost Sum $ 85.00 $ 15.00 ,$ 40.00 ,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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. 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 liB" above D. Branch Circuits " New, Alteration or Extension Per Panel One Circuit / $ 35.00 }.}':c?o Each Additional Circuit or with Service or Feeder Permit 25" $ 2.00 ,)"6.t:?~ 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 8' .f'.o CJ 7% State Surcharge r,'l S 3% Administrative Fee .2 j..> TOTAL <;; .,..5<7