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HomeMy WebLinkAboutPermit Electrical 2000-9-8 . The following project as submitted has the followin Z0r.,Og. and does not require specific land use approval. (OIL Zoning 225 FIITH STREET Date q - 'i) - O'b SPRINGFIELD, OREGON 97477 - r ~ INSPECTION REQUEST: 726.!:jn~ed Slgnatu a OFFICE: 726-3759 1. LOCATION OF INSTALLATION j:J 3 d jJ :; +R-Lb-r LEGAL DESCRIPTION \703. 2.b4/ /1700 JOB DESCRIPTION h e.tLf'lACI'? Ii )..f""d Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor)"'S' tld/'.',- <tCur~t. Address~ O. ..~C&':2 (,/~.33 City L.t...-/~ Phone~-/(,rV <J Supervisor License Number :J V~"}..J Expiration Date I d/r /00 I C. Constr Contr. Number 76<fJY Expiration Date /2../'3'0/00 Si~ature of Supervising Electrician <~~;JJd ~ O~ners Name Ct{.e..T A-dAM~ Addre~s /01..-3cJ .AJ ~ -I, "/C'..t CitY-fIl/'''S-~P'L/Cl Phone Cf2{,..:.. OCJ7J OIINER INSTALLATION The installation is being made on property I o~n ~hich is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: 09'0 t:TOO s/l./7 :nit: ILE::TRICAL PERMIT APPLICATION , , City Job Nwnber(XJO/,;).,70 6/- 3. COMPLETE FEE SCHEDULE BELOV A. Ne~ Residential-Single or Multi-Family per d~elling unit. Service Included: 1000 sq.ft. or less Each additional 500 Sq. ft or portion thereof Each Manuf'd Home. or Modular,D~elling Service or Feeder, 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 Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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" aDOVe .' Ne~, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circui t 1 Each Additional Circuit or ~ith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.007 (" $ 2.00 no t included) $ 40.02:, $ 40.06'!it::l~ $ 20.0\b~6; $ 36.0~.~ C") cc.~-- 3ft Nra~ ~~oo -'0 _.. f'..." c:; ~~~8~ r-.0I OO-J