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HomeMy WebLinkAboutPermit Electrical 2000-5-19 . " ~ . S.GFIELD The following project as submitted has the following zoning, and does not require specific land use approval.. . L 1) rL--- . Zoning 976J.l C? - I C; - <7--"\ 726-3769 ~ Authorized Signature 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 r,LECTRICAL PERMIT APPLICATION City Job Number OO'OD)7/-0l 3. COMPLETE FEE SCHEDULE BELOY 1- ~aATIr OF I~ST~TION ,'5 l Ol.:::t S* A. New Residential-Single or Multi-Family per dwelling uni t. LEGAL DESCRIPTION Service Included: /7o-;;J.()f) II O}.:;;.OO Items Cost Sum JOB ~ESCRIPTION 1000 sq.ft. or less $ 85.00 t S ."Q/ .pIP- Each additional 500 sq. ft or portion -:J.... )8 Permits are non-transferable and expire thereof $ 15.00 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 .$ 40.00 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders E~~9c;j .. Installation, Alterations Electrical Contractor E I J ScLnJl(~1;1^c.or Relocation: Address '3']0 S 'PlWlo, C..o'Ur1' . 200 amps or less $ 50.00 r; 201 amps to 400 amps $ 60.00 CityL-UbF)JF PhoneJ-<Yl-hqO<i, 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Supervisor License Number ~~()~S Over 1000 amps/volts $300.00 Expiration Date /()/()(/()/ Reconnect Only $ 40.00 / I C. Temporary Services or Feeders Constr Contr. Number 1'36 ?/7/ Installation, Alteration or Relocation Expiration Date O'?//2/0J Signature of Supervising Electrician . ~~ if~--nr Owners Name '5; €.:l0U\.... R..,JdQllslS 51? I X 'i5 Gr vdJiA.tP-"..;J,.O f? D\. Ci ty $Jf.'N-..r:-~),-J Phone ~41...../-;'> ,;2.(;-;r I I OYNER INSTALLATION Address The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: 200 amps. 'OT less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 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 ~ /I '" . 8' OS 3. -;:)() l &"1", .srJ