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HomeMy WebLinkAboutPermit Electrical 2000-2-8 . . SPRINGFIELD The tollowing project as submitted has the toll zoning and does nol require specific land use approval Zoning LU 0--- 225 FrITH STREET Data 2. - '5 -.,..." , SPRINGFIELD, OREGON 97477 AuthorIZed Sign t ~ INSPECTION REQUEST: 726-3769 a ure OFFICE: 726-3759 1 ~ LOCATION OF INSTALLATION \\ 3394 "i),\,\;'Oh S~l'i()tf,,\1'I LEGAL DESCRIPTION f"vew Co,,<;-trtk-]-;{)I"\ JO~ DESCRIPTION .:r:1"\<'-\a.\\ Uo..Lllf\I~' ;<;f<'{I"tv\ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 97476 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Y:J '1:1'6\...\\0.\\01\ Address ;;l4'd-1'7 W; \\;0.\"\<' ~d. Ci ty ~on<;'O~ Phone L.!;:}.43Clo-:z, Supervisor License Number I~?-~C) Expiration Date S/10/01 Constr Contr. Number ~ Expiration Date Signature of Supervising Electrician n.ill)~ 711 ~. Owners Name HODe Shc."f\D\l Address Ci ty Phone 75 71~.;L'li OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: ';;)-~-DG RECEIPT 11: "'11 (3 RECEIVED BY: I,)~ ELECTRICAL PERKIT APPLICATION . ':'~LJ Jub Number qq-Ot 51()rOj . I 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sQ.ft. or less Each additional 500 SQ. ft or portion thereof Each Manuf'd Home. or Modular .Dwelling Service or Feeder .B. 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 Items Cos t Sum $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" 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 Circuit 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) $ 40.69 $ 40.00o:::ti :0- $ 20.00-t~ I $ 36.Qij':':'o= n O"T\-- :Do .. mo ~G>- ~ 1'.)tJ:l11 rrEx: ~ co C5 __I,", -...-) ..Z(':lI'.)O ad- (j;~o15l:!l '.....{~.I >..-J"-""O