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HomeMy WebLinkAboutPermit Electrical 2000-3-23 , , . s submitted h~~ t e se The following prolect ~ require speCIfiC land u , and does no 225 FIFTH STREET"onlng, ,17 . _...aD"p'rova\, L.O !(....-'"" - SPRINGFIELD, O~GuN 97^~~g___ .~ INSPECTION REQUEST: 126-3769 ~ "l;~ ~ OFFICE: 726-3759>ate ~ ~ Authorized Signature 1. LOCATION OF INSTALLATION 3 3/ { WO<Jt;a/l /1IVl1JJI/( LEGAL DESCRIPTION J~m~u 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 Contractor )j (' e €tiCL Address Po (0)( {G g {p City 4/tB 1$/ Phone 5V/-Cfh7-gro-Z 7 Supervisor License Number :Jq 8:2 S 10-/-00 QL(Z {S-e Expiration Date Constr Contr. Number Expiration Daten - / - () () Signature of Supervising Electrician 'X ~/I~ c::~ , ' Owners Name (<<{'1 ~~ Address 7.o,?ou-i 2.D ~ I City ~,IH..i1..i-, Phone 72(P - --Z 22"2--- OVNER INSTALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT I: RECEIVED BY: i tif I ELECTRICAL PERMIT APPLICA~S#:gl-0Q0102;~ ~ WE: MHR 2,1 200u ~ Ci ty Job NumberOO - o~OEPt.;2() 114?:.. 00 I _ tHA~~bE: 1 3. COMPLETE FEE SCHEDULE BELOV CASHIER:059 ~ I I Ite;s $ ::~:o g;: 061 ~ J $ 15.00 t;5 0{) ~ A1 A. New Residential-Sing~e 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 ser~tC'E.or Feeder. _ \r\LlE~~ 00 NO, . ~LLE)(P'\"'\t:: .' sNOT S~f\\geei~t ~~,~~\s PERM'\ \ I\t~fll.r.ar&\~Nffl~~~~afOR Re:91~t~~ED OR \S po; v , . . A'l PERIOD. 20o...\~mflO Qt' less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/vol ts -5~~@0.. 00 Reconnec t Only ...,w i'dy'un'::' UJ~(\I-~OO c: v' I ,- ~o 1:'1\(1), r\ \ \ t:\~ I .~I~:~ot~d by t\1e UI; are set to,.t c. Te~~RQ~!fM\~{'Yl-CE!fu~ !~~~52.-001' I~~~~\t)tOA~t'~'~~t~ ~1h~~~~t i on , 0 ~B 952-001 'n caples 0 hone 20tl'~~Q4M1',~b:~ ,Note', t~e ~~~\6~ti(im 20P ~~gtr~ ~n U\\lll1 ~ 55.00 Over n~9AbE1\'dot i~~()-:~..5/-~M $ 80.00 Over bOO a~tPbr~ 1000 vol ts see "B" above B. .,. D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit' $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. ~UBTOTAL OF ABOVE 7~% State Surcharge " TOTAL 3tJ C{~ F-V 7'wa) $ 40.00 $ 40.00 $ 20.00 $ 36.00 /30 .(;{) '-[, 10 3 Jk () LV3,o-O