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HomeMy WebLinkAboutPermit Electrical 2000-3-17 The following projecf as submittad has the following zoning, and does not require specific land useELECTRICAL PERMIT APPLICATION 971f19roval L f2--- ' 726_376g:aning V l;l'ty Job Number~-a;J2~Z.-1'l1 3-1""'7- (7""'!l Dafe r<J-J. 1. LOCATION OF ~STALIfA'f.l'(jlfed Signature 7_:3y~ A~ *~ LEGAL DESCRIPTION /'70s 2.3 d~ CJ2...8Be; , . - , A. New Residential-Single or Multi-Family per dwelling uni t. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 , Each addi tional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular 'Dwelling Service or Feeder ,$ 40.00 ,B. Services or Feeders Installation, Alterations or Relocation: I 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 JOB DESCRIPT~~ 7ZJ-{A9 .~~_ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address /' Phone / N7 City Supervisor License Expiration Date er Expiration Signature of Supervising Electrician / Owners Name ~r ut1r~) Address )7>.0, ~ /,.,<;; . . Ci ty J// t-f.,;/?J(VJiI.! Phone -$ --L;;;32d OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Sign:we: ~ ' ! )( /~~y? ~ :;' ;V~--~---~------------------------------~ I DATE: _ :=, - \4- o-'D , , RECEIPT j1: '1'~, RECEIVED BY: j(W , COMPLETE, FEE SCHEDULE BELOV 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 $ 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 L-- $ 40.00 4'o.CTJ 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" aDOve D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 dn.~ , 2Sbd J;~O ,11,tJO