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HomeMy WebLinkAboutPermit Electrical 2000-11-30 1/ The following project as submitted has the following lonlng. and does not require specific land use approval. 225 FIFTH STREET SPRINGFIELD, OREGON 97477"ning INSPECTION REQUEST,Date7?/;- 'U/;Q OFFICE: 726-3759, Authorized Signatura ..J..uf'l-.. /f- ~:..f 1. LOCATION OF INSTALLATION (Oz.,.( OA-l::uVl~"""~ ~L LEGAL DESCRIPTION /703-:"427 (")<:'-10-0 ; JOB DESCRIPTION '\ ~f!-vc., F~b;" I c, a.-c... f Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. ,~ I I 2. CONTRACTOR INSTALLATION ONLY . ,B. Electrical Contractor ~~ ~ Address /t:JrZ- ~.~ ~, , <-'~I"_~- Ci ty C~-v-- ; Supervisor License Number " ! Phone 7.;1. 9 - /500 1'15-05 /l/ o( Constr Contr. NumbeL' b 3.1'5:>7 l5E~_ 2-//ti/tJf/ f I Signa~~r;_:J;;;2si~~an qvners Na--::-a~c-{ Hit.....flr Address 3l(Zb '1:,O.1:>(CVIC'>J i , I Expiration Date Expiration Date City ~~~~/V;::, Phone 0\1NER INSTALLATION ~Q.... 'tg<( - 70 7b The installation is being made on property I ovn vhich is not intended for sale, lease'or rent. Ovners Signature: DATE: RECEIPT V: RECEIVED BY: f(3<> <:>0 39'~ J:>,R ELECTRICAL PERMIT APPLICATION Ci ty Job Number 00- ft.( lf~-o rjJ .J. ~vnrLcL~ FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family perdvelling uni to Service Included: Items Cost Su 1000 sq.ft. or less, $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular, 'Dvelling 2 Service or Feeder ,$ 40.00 :?:P 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 Reconnec t ' Only C. $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over ~01 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith serVice; or Feeder Permit E. 5. SYBTOTAL OF ABOVE 7tr. State Surcharge 3% Administrative Fee TOTAL $ 35.00 $' 2.00 ',' z no t include, $ 40.00 _ $ ~.OO _ $ lfl t:99ti - $ ;!8~<:!t - mmc.o ~.*" ("J .. -r-. ._.....-'t.-.-. 0s=,.:::. t--tC7J~O ;;;~:!J~~ OGl. 0....0 o FTlf".,JO 0 ........000