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HomeMy WebLinkAboutPermit Electrical 2000-1-19 (2) . Jr" tolloWlng project as subm' . &'J~Wlg and does not r . Ittad has the fOllowing CliJtJluV81 squire specitic land use LD(L I-;;::j Zoning 225 FIFTH STREET SPRINGFIELD, OREGON f<J'J'4Ti INSPECTION REQUEST: A"7rUi..:b7~Bnalur. OFFICE: 726-3759 1. LOCATION OF INSTALLATION ~ 7q;O ,1F.!It:.;,r;nT7A- .~/...., LEGAL DESCRIPTION /~2- t!)-f C/' c:Jl:)/ /1 JOB I?E~CRIPTION ~H" 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 License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name Jil11 ~f/"'''' / "'. ...- III rz Ph Address Z (, y' ( ; Ci ty 5fr,''''j (l,~LJ1 Phone..1!ifo-l >H OVNER INSTALLATION The installation is being made on property I ovn which is not intended for sale, lease or rent. Owners Signature: ~ ~_~!!:JL~~~~~------------------ DATE: 1- '~-ifb RECEIPT tI: RECEIVED BY: ~ D /-1 \ . ELECTRICAL PERHITAPPLICATION . . , City J~bNumber '1"};'()/(p2-""-tjJ 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dvelling unit. Service Included: Items' Sum Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular 'Dwelling Service or Feeder ~.$ 40.00 ~~ .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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' '0'1: less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits " Nev, 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 no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL ~tH> <lI.<IZ."P --,-(