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HomeMy WebLinkAboutPermit Electrical 2000-8-2 ~ . SpAF,ELD The following projeclas submitted has the following zoning ano does nol require specific land use approval . f7..-, Zoning L 0 <6~z.- 0lJ ~ 225 FIFTH STREET SPRINGFIELD, OREGON 974Pl'te INSPECTION REQUEST: 72~li1\,o Signature OFFICE: 726-3759 1. LOCATION O~lINSTALLATION :(11 Did /rehur/ ,^n(u--, 8 o AMT RECD:2 $ 22.00 CHANGE: CASHIER: 059 l\W;CTRICAL PERMIT APPLICATION . . . . City J~b Number OO-D05SC{;.. of 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION JOB DESCRIPTION . .~ _ 1000 sq. ft. or less ..J.u.v) V. il L+-'l.'t" iAJI ( /11. '(Nil/rD.! ~lftovJach addi tional. 500 . sq. ft or portlon Permits are non-transfera Ie and expire thereof 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 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders Installation, Alterations or Relocation: Items Sum Cost $ 85.00 $ 15.00 . $ 40,00 Elec trical Con trac tol)""",<;d b;rL ~II Pe.ffil(1Le;r AddressB. /I)/),,- '101,,<1 ' City ~mqtJ11- Phone 5'1/-<-I'i5I./-C)O+-V Supervi.sor License N'!J!'Jer jg,:J/ _/Lr Expiration Date 16fn1.. NOTICE: _ ---:-3BIs'PERMITSH C. Temporary Services or Feeders Constr Contr. r _1!t.!:f,:/~,'l6. ALL XPIfi:rilft1il(l:<ilt!iRn, Alteration or Relocation I. V,\,'vnl~l: ERTHISPFRMIT/C::Nn' Expiration 1,.&-0 4 COM ~ rl=n')QISABAN,~9,Q <gnp~'oTfless $ 40.00 N 1 n '201Jfam'psRto 400 amps $ 55.00 g EI tflfci1.Y,PER/OD. Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above SiMfi ~ -L-J}IJJ -1. '-; n D. Branch Circuits Owners Name_+u"tu/'P rJ, tlDtnPf ". '''~.'. P "ijeWf~All&f.~~~on or Extension Per Panel Addre~s _ fJ, fh(J.I 1 '-1.2:) .t:t:.'" i ,U,,,.....';~d\)ineOtey~'se\'or, I'~ r- ~J\llesadOl":\'tI \OO!/:~ ~2..()O' City UPJ?f/lL Phone 'l/~i~G~O ~I'}'(d~ ,.a~ . N f'~1 ~ ~li!'( GnllMh SerVlce mINER INSTALLATION .('\OPl 'foult\a'1 Ont8~~eReed~"{Cafll!li t OOS(), ""3Osnt~I., U\ili\'1Not The installation is being made 06~"nBt~~~~~~~bUS (Service/feeder not included) property I own ..,hich is not intenJfl!'Q3 Cp."",,'i~. ~'Each installation for sale, lease or rent. Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm Owners Signature: ".. ; r --------------------------------------- DATE: RECEIPT II: RECEIVED BY: 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 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ,- $ 35.00 $' 2.00 $ 40.00 $ 40.00 $ 20.00 $ 36.00 1....0 - 6l? /-flt} . P 2..~. t5D 'L0.00