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HomeMy WebLinkAboutPermit Electrical 2000-8-23 . .:-- SPRINGFiELD The following project as submitted has Ihe following zoning. and does not require specifiC land use 225 FIFTH STREET approval L rL' ELECTRICAL PERHITAPPLICATION SPRINGFIELD, OREGON 97477 Zoning D . . INSPECTION REQUEST: 726-3769 <;( _ !L? - en> Ci t~ Job Number 00 - 0' I 2.'1 ~() /. . OFFICE: 726-3759 Dele . ,v" Authorized Signature ~ ~IlMPhI!'l'B FEE SCHEDULE BELOl1 1. LOCATION OF INSTALLATION 3-4 <sO 'F<'L I c...o '" LEGAL DESCRIPTION I 702- I 0 L-f :3, C>r$SOO JOB DESCRIPTION -r-ewt p t?OV~ 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 Electrica Contractor / Address City Supervisor Expiration Date Constr Contr. Expiration Signature Owners Nam~(',,=,.j G-..Otr-/C-l',-,,/ Address204 \ p, 0 I 150 K CityafLlCt. I/..., Or Phone 726~(J3?() mINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ....... -~ ,. , ,-' ------------------------------- o~2-s0e:> 2_79.6 DATE: RECEIPT I: RECEIVED BY: p(? , A. New Residential-Single or Multi-Family per dwelling ServiCE Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular Dwelling S~rvice 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 unit. Cost Sum $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 5300.00 $ 40.00 C. 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 Circui ts $ 40.00 $ 55.00 $ 80.00 see nB" above .' New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.~ . $40. ()Gi ~ 3? $ 20.~-<z $ 2,6.qg~~ ~~ffii1 ""'~gJ '30 -.... <..NO ....-. 0 .r"Z2:.",.."""" ~-i5j5 "_ <3 0"