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HomeMy WebLinkAboutPermit Electrical 2000-7-19 ~~, 225 FIFTH STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 . . t8ssubmitlOdhasthefollowin9 . INSPECTION REQUEST: n:lla~~g:;~~e~O\ require specifiC iand use Ci ty Job NUlllber 0 (') - 06 &'0<1-0 I OFFICE: 726-3759 zOning, ~n approva . L')~ 1, ""!lFbBTE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLATION 20n'7g _ I "'i - 01) . 1133 Delrose Opt. ~.... LEGAL DESCRIPTION AuthoTlzeo Slgnatur. I JOB DESCRIPTION Alarm Svstem Int~1 Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. . 2. CONTRACTOR INSTALLATION. 0Nl...Y: ::;ecunty Plus Alarm Electrical Contractor And Protection Address P.D.Box 26413 Ci ty EUQene Phone 687-6474 Supervisor License Number 3012 JLE 20417CLE Expiration Date 10-01-99 Cons t r Con tr. Number 125673 Expiration Date10-13-98 Si~;i7of~~rViSing~ctrician Ovner~ Na:e Char~Homes Address 835 Sand AY? City EUQene Phone 354-939~ OI/NER INSTALLATION The installation is being made on property I ovr. vhich is not intended for sale. lease or rent. Owners Signature: --------------------------------------- DATE: ZtO:~3IHS~iECEIPT #: :38N~H8 RECEIVED BY: OO'ZZ $ Z:a83~ lW~ OOOZ 61: lnr:31~a 8Z9GOOO-1:0:#SN~~1 Nev Residential-Single or "llt~-F"lIIily per dvelling uni t. Service Included: Items Cost SI 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular 'Dvelling Service or Feeder .$ 40.00 B. Services'or Feeders Installation, Alterations or Relocation: $ 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 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only 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 "B" abovf .' Nev, Alteration or Extension Per Panel 5. SUBTOTAL OF ABOVE 70/oState Surcharge 3~Administrative Fee TOTAL $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not includ. -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res 1 $ 20.00 2L[, Limited Energy/Comm $ 36.00 One Circuit Each Additional Circuit or vith Service or Feeder Permit 20.00 l.4U 6fl 2200