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HomeMy WebLinkAboutPermit Electrical 2000-8-25 - The fOIl0\,IjI1C !1c"io:>"" P," slll)mitt"rl has the following ;,, ' ' 225 FIFTH STREET 'zonn.~" L"',UC":;< ,,0, :tJQ;,I,rE'; specific la~I1'tnuCAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 apP'(jvSi, ~' .' " ',',' ' INSPECTION REQUEST: 726-3769 " ~:,0"'0,'15,",'-,=-, '~,'~ "to\ Clty J<?bNumber 00 ~ oog3f~ Of OFFICE: 726-3759 r<le-._"...,~~~.._-""-~--,)~ 1. L/~~~Tl}>N O~~STALI.~I9tt., ,_,.,Z<iQ S:Qi'"','<Ulb 3. &(f? PLETE FEE SCHEDULE BELOY ~> ~ ~ ~~ A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION 17 o::S 3S-( <-( D2bOO JOB DESCRIPTION -2f1) D I 1J:.oNA.-i __ S (2.vL ~~ 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 contractorblkON kC~(2(L Address "3 '3 73 L L J. JIIIlI4 ~T((\.( Ci tL(2csl Vf::C-L Phone '8 '7 )' ~ Z l{ 40 Supervi.sor License Numberb f:::, 'b yc.( Expiration Date 071ti" /0'1 ( / C. Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name j't> (,,'-"- ?rc=roo/(C ~ .H-7~ .:s + , Phone sl( 3 .-' bCf~ Address \.5b 1'" City Cu-c.J:::vt (S / OVNER INSTALLATION The installation is being made on property I own whi~h is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT#: RECEIVED BY: c:>~ 2'5 :;,6( b c:;, c::. --.......I? ........- Items' Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular Dwelling I l{o Service or Feeder ,$ 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 Circuits $ 40.00 ,$ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel ,. One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permi t ( $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL 'Z not included) $ 40. ~ , ' $ 40.~1:::I:i.::l , :0. I.- $ 20.00J-lz $ 16. dfil '::!~ c"':l 1:::1 I.- -- :I> ..co ~ 2t'...:JCi17 : :::-:1';',1.1")0 I'T1 ::c U'1 0 :::::3:\.;... 0 .. Z 0-. t'.,) GJ ~~~ ,..--" - ~ ...........~ 0-'.