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HomeMy WebLinkAboutPermit Electrical 2001-2-9 The following proJect as submitted has the tollowing zoning, and does not require specific land use approval. ........ r'Z- Zoning L.:u I1LE'';TIUCAL PERMIT APPLICATION 97477 '2-'1 -0 ( \ 726Qg'F6; of(u.J City Job Number6/_ OO/l'-l-O( . Authorized Signature _ . 3. COMPLETE FEE SCHEDULE BELOW 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTAL~ION 3:So, 2 Fa. Ie ~V"\ LJ r , LEGAL DESCRIPTION 170L )94~ C> 8'.30-0 JOB DESCRIPTION ~ -.I--Pvff' "\ OLJ~ Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City " Phone Supervisor Expiration Date Constr Contr. Number Expiration Date /\ Signature of SUP~Sing Electrician The installation is being made on property I ovo which is not intended for sale, lease or rent, ,.-- ~ -----{---;------~---------------------- DATE: '-../ 020'70 (' RECEIPT l!: '-N/V' RECEIVED BY: "\--... R 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 'Dvelling 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 Cost 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 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100u E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL L I, D Branch Circui ts Owners Name 6' re...q O\,V" ~ \ ~ . '" ~ New, Alteration or Extension Per Panel Address V.D .13(\" 204 I !') A' One Circuit ' Ci t:k.~21 t'vOI.l \ ~<:; U/Phone-5<t I ~'Z4..Q..:.43' 7 bEach Addi tional , Circuit or with Service OWNER INSTALLATION or'Feeder Permit ( '-10 $ 40.00 $ 55.00 $ 80.00 volts see IIB11 above .' $ 35.00 $ 2.00 not included) $ 40.00 $ 40.0Q, $ 20.00'i....,,::;:j $ 36.09:,~~ rnlT1 DJ &lcg;;~ 7' --'='10 OJ 1'..1 o::t 1-.1. ::r I ~-"l(>5 ~~~ 00...... ~.. Ot--l-..j:::...