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HomeMy WebLinkAboutPermit Electrical 2000-6-30 'Iv -I!;;: 4u!, "'<fR4ff . 225 FIFTH STREET 00 .yOR~ l" Sf.t SPRINGFIELD, OREGON n.,4p'1f4fGN. C'D(.t~ ~{{G-t INSPECfION REQUEST: 72f1-~7}9'C~D OJ'> 'D<fR l"J.,"P/R<f/~ Ci ty Job Number 00 - c:r-o-g73 -:- 0 I OFFICE: 726-3759 1.),</ r 'T /s 'tis p. l"/i<f PGR/OD -is-i4'DdlfR~-oH~~ FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION . ~<fD /S4'O ~ Ijl..{ I f () P NM ID~ i A. ~ R'lsidential-Single or '"0 '>"'- Hulti-Family per dwelling uni t. 3Ob~oQo~h Service Included: C::C::>b~l,>O':9b~ Items Cost . 0"0 C?I.' Oq. 9 BOt '" <, '" '> "",,",n JOB D];:SCRIPTION "ivI/) "-.. 0'>1;' O/~~ sq. ft. or less LJ )~r..)/ p 1A6-<)~ 0 11~ M/U 0,"". "-....:9 . E~~""~di tional 500 . 'V~ .~t~!; portion I") 30 /.'::l. Permits are non-transferable and expf~~ .rr"~",,, c;r... $ 15.00 .cru if work is not started wi thin 180 days " ac "t"lo~me or of issuance or if work is suspended for du Dwe!ifhg 180 days. Ser 'ce r Feeder 2. CONTRACfOR INSTALLATION ONLY Electrical Contractor...d f E flp 12.- Address fo 001\ I ro ~ (0 CityJdlbaJu f7~~~ne 8Cff-q(P7-~GZ 7 Supervisor License Number ;;<qx ,;( S 1('), I-Q () Constr Contr. Number ;;!U215(! (Q-I-()() LEGAL DESCRIPTION ;702 ']000 Expiration Date Expiration Date OWER INSTAl.LATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: _ _ c:c;.~9 c>_Q Rr....".1rL II: ~3b'1 RECEIVED BY: . 'htY B. Feeders Install ion, 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 ;,; '. Sum I $ 85.00 85,{jf) $ 40.00 $ 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 Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 '$ 80.00 volts see "B" above $ 35.00 $ 2.00 Signature of Supervising Electrician X~~~ o ) ( D. Branch Circui ts 'owners Nanie i\ (' 1/ f> ( t 0; { e (/ ~ ~ (New, Alteration or Extension Per Panel Address YO 1.) 0 X ZO '-{ ( ( 0 One Circui t City( ~vA-{ l <:. Phone 726 -Os:5 Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited EnergyfComm 5. SUBTOTAL OF ABOVE 7\% State Surcharge , TOTAL 3~ Cl~ F/.P 'TU1a) not included) $ 40.00 $ 40.00 D $ 20,00 =; -< ~ $ 36.00 ::U~$: ("') ", Cf) II 5 WtJ'2 ~ !!' . _ "-,JC:::O 5? ~ :z:~ 3..~~:~g .....J.......I...:J 0 ..:Z0"1"-.Jf".,J IAh~~~