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HomeMy WebLinkAboutPermit Electrical 2000-11-6 . e DEVELOPMENT SERVICES Dfif'ItIilToMENT . zo' oWing prOjecl.s submitted has the tal/owing ap~~~~'a~.nd does not require specific land Use L..D ^ 974ft'le 1/- {, -<HI J 72~"d Slgnatur. ~ k 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Zoning 1. LOCATION OF INSjI'ALLATION 031 Ov/lNlfie . } LEGAL DESCRIPTION 17 0'\ 2 64/ 12- be> D ~OB DES~PTION ---L _.lli~.1.lv\. ~ "< ~ """ ~ 1I - I 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 B. Electrical Contractor~Al,,^? ~oj{lic Address3R;ql~ L'lUJ v_- ~qJ\l~ e.!.. Ci ty 50:1(',\ Phone 17L-t/Oq~ v Supervisor License Number :s~~ Expiration Date 101, '0\ Constr Contro Number I -](,,:<-bY I () I \ I () ) I j Signature of Supervising Electrician ( ^ '.r.\ ~~j)-" _"-~ - ~N Owners Name ~ ~. II'J\ \f\ 0 Address ~ ^ () 97477 Expiration Date Ci ty ~:::)\ Phone 7-i I Po \ '? OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: I/OG~ = RECEIPT jI: 5> 715 . RECEIVED BY: .\ IfC. 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX(541) 726-3689 BhBCTRICAL PERMIT APPLICATION Ci ~y Job Number ,'")C) - 0 1 b 3 S- -0 I COMPLETE FEE SCHEDULE BELOY 3. A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling 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 Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00<.:::Q.l:lD $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circui ts $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Chcui t Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 ~ -l $ 20.00 --'~D $ 36.00 ~~~ C"J oz.. L>. =>---.. 00 ~'"= ,iiN....J ....,,<:....... 3'~06 '-.~!,,"'g ~ - ,.,..:z;, c.n I'-) c.N ~.'-C--c" '- O-J o--rTlOOI--lo .........0001