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HomeMy WebLinkAboutPermit Electrical 2000-4-19 -......... '" . ces not require specific land use ZOning Lp rC- if - /<7 - (T7) Date 225 FIFTH STREET Authorized Signature 'k;v./ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 -- INSPECTION REQUEST: 726_3769 Ci ty Job Number (l () -on;;).oq OFPICE: 726-3759 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION 0 i;;1.Cj Din (),rkrd .>c...<2... A. New Residential-Single or Hulti-Family per dvelling unit. Service Included: LEGAL... ImSCRIPTION I-:j.-05'cA..?'-1~ 0 :::LIOd-. JOB DESCRIPTION ~~?- Items 1000 sq.ft. or less I Each additional 500 sq. ft or ,portion /l. thereof J Each Hanuf'd Home, or Hodular'Ovelling Service or Feeder Cost Sum $ 85.00 35 $ 15.00 .!i2 $ 40.00 Permits are non~transferable and expire if work is not started within 180 days of issuance or if vork is suspended for 180 days, 2. CONTRACTOR INSTA.l.LATION 9NLY B. Electrical Coritractor8(Jb tsher: tlte roc. Address /80 k,',Ujs h..,.- Y live. City f'Vt!; c> /I e.. Phone t" 1/9' ?? 7 J supervis~r License Number 3 q 7 S- 5; 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 Expiration Date Constr Contr. Number ~&;;( '7 ~ C. Temporary Services or Peeders Installation, Alteration or Relocation Expiration Date \Sign.:.:~ ~f Supervising ...Elect~ician "IeWMstYh- --vL 200 ampS"or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits $ 40.00 L\ C>' $ 55.00 $ 80.00 VOlts see "B" above 0..'< . .' D. Owners Name ~.l kf1.JL ~ -\fowM Address [:l,,,,,, I :).1-1 ~ '5 New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permi t $ 35.00 , Ci ty ?"...,c.rw<2- y' Phone "=/- 41..1- J f:t;D OVNER INSTALLATION $ 2.00 The installation is being made on property I own which is not intended for sale, leas~ or rent. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited 'Erlergy/Res $ 20.00 Limited Energy/Comm $ 36.00 Ovners Signature: ------------~-------------------------- 5. SUBTOTAL OF ABOVE DATE: 5% State Surcharge <~u~Lrr i: 3% Administrative Fee RECEIVED BY: TOTAL I'+" 0 ii', '1 U If ,10 _, 9'72.. "Q.. , r' "