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HomeMy WebLinkAboutPermit Electrical 2000-4-12 ~ '.. bmitted has t\1E: TO ,..w,. ~.... The following project ~s :~Uire specific land use . ~f . zoning, and does no r , ' TR~~S#: 01-0001215 ~25 FIFTH STREET pprovaL 1:t)1fL. Eu;cTRICAL PERMIT APPLICA! ]~1fE : APR 12 2000 i.)PRINGFIELD, OREGON 9747' Zonin~' . ()O /\/lCIM1f/tJLTr.~ $ 1/,7 ~IO INSPEClION REQUEST: 726-3769 If----\2----a:v \,;1ty Job Number -vvO\'U'~lmf~C[I$ '"to'~0 OFFICE: 726-3759 Date . ~. u C'. ~I. O' 59 Authorized Signature - 3. COMPLETE FEE SCHEDULE BELOV CAuHIEK. . 1. LOCATION OF INSTALLATION --3.!i./LJ fA }a~/J J) K LEGAL DESCRIPTION I :J{);).. J q 3 q 0 -::roaJ JOB DESCRIPTION ~ /"0 h Ilwo 1/1 fJ--Utl.-..f IA~':- . -( a 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 J:j t ~ ti!.ecr~ Address <UJ() Box /lo9,h ~ City J}tbOcfL0f.-Phone SV/J?67-8feZ 7 Supervisor Licens~ Number ~ f.(2 ( 5'e .. !v - l- 0 () Expiration Date Constr Contr. Number :J Lf7 / S (l Expiration Date If).- /-()() . . . ~\r:r~ '----" /I Owners Name ~r-~_ io..,...k..yy Address PD l)1)^ J. ~CL-{ I Ci ty()::/\~Jl::~ Phone -::J.;;)/:.,. ~~ OWER INSTALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: A. NewResidential-Sing~e or Multi-Family per. dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or' Feeder. I S 85.00 <85.0-0 3 $ 15.00 Lj5"rOO $ 40.00 ~ Services or Feeders Installation, Alterations or Relocation: 200 ampjV~T~~ $ 50.00 201 amPfH~p~QU.amps $ 60.00 401 amP1, I to '6t1&1/"kmtnALL F)(P/Rcl,lQ..o.. 00 601 am~ tfd~~ '-$'i3t1~~ORK Over l~ttmJNt!e'tjbW/ ~ PS~06TQ9N(rr Reconn,i\",y.Dn.lYA SI-\/jANDOOE!f.Pp8~ '~(JJj, Y PER/DO. C. Temporary Services or Feeders Installation, Alteration or Relocation D. . 200 a~!TCil\ill~u/t;: $ 40.00 201 ~M?!~VttOJ/B9Qdl~~'.i'<-''' .,.,._S. 55.00 Over ~fiflC~bD~9n ~uYmeOr~dW.OO ove6'oJi~~cqro . \llI:,'%'Iit;<s; ~e,:ili" above O. You maYobt. rOugh 0A.f:.: '-II.:. ..' caw am co i <:; 'k',. Brancn 'UIDiclliatt~ntel (N P e", ot thb . utA<=: '", numberforfhe Or~ ate:. ~he fe/Sprin!.:. . New, Al tef'(!ltw>n,. QrR~RW~~~i~l)ti~~or;,. ~anel , ... - . . One Ci.rcui t Each Additional Circuit or with Service or Feeder Permit' $ 35.00 S 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting S 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. ~UBTOTAL OF ABOVE l30lr{) 7'%. S ta te Surcharge, 9" ("0 TOTAL 3fp C{~ Fl.-P 3,((0 . 7VTa)~~nt /4;:J ..l? ~