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HomeMy WebLinkAboutPermit Electrical 2000-4-27 The follo~ing project as submitted has the following . zoning, and does not require' specific land use. . , approval. , H D ~ 225 FIFTH STREET. Zoning . SPRINGFIELD, OREGON 97477 .. ~- 2-1~crv INSPECTION REQUEST: ~-J76;.. ...c~ OFFICE: 726-3759 Authorized Signature f) 3.' COMPLETE FEE'SCHEDULE BELOY 'Ci ty ,Job Number~O"00'10?-(j t 1. LOCATION OF INSTALLATION JOI & f.Sl'. APi A A. New Residential-Single or. ;".1 I t:,~MuJitdvF.;.a}.lLi;L~'J\PE;!;jus:hu~}~~Qg uni t. LEGAL DESCRIPTIONfollOV\lrill@$"M~@~tel~.mtee\~egon Utility . if P L (3 X . i\lotification CenterJhoserules are sMft'V~.. Cos t Sum .' I OAR 952-nOl-OOiO through OAR 952-001- ~O/BR~ESC~PTI~ TC H ~ 1J u090. ~ol~9r9% a~WfrhoBre.st~dee n-.:!~~ ~~. $ 85.00 . calling lfl& (;e~'lm~IJ'T&~?-11e telephone Permits are non-transferable and expire nL\mberfQ~\r~e~fggorP.afiht!j~~htification $ 15.00 r,.,-:..l.~", -' ...'~ t'j,f~(\ f-:r<,r-. ~.~n~i1\ if work is' no t' started wi thin 180 days 'Each' Manuf'd HornEt"or of issuance or if work is suspended fdr Modular Dwelling 180 days. . Service or Feeder $40.00 2. CONTRACTOR INSTALLATION ONLY. B.Services or Feeders . . . Installation, Alterations Electrical Contractor fAS/SIDt:. f{..(L, :rIVe, or Relocation:. . . .NOfIC&~.'. . Address ~S,)S3 f30SGA 6-6 L-Alvt- 200 amps or less' .. THIS PErllVif~~~>mIFWd~j~WORK .' phone 7lfl-IYClqAUTH~~I1t~(f4W~~1.tt<Pla~. . 'rVl~~J0T . . ... . CO'M~NFW:.Q4.A~BS tP"lr~i 0 a.J!1.I?s Supervisor License Number' 3 S 17 s ,. M .... ~'Pnrtf~~~' ~m.ftl.gR . . ..,.. .' ANY 16Q f;}m~~~~~~t Only . Ie) '.'1; ol . City SPFLD Expiration Date $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number j/7770 C.TertJporary Services' or Feeders ., Installation, Alteration .or Relocation Expiration Date i 0'-)- ()O .':.200 amps' 'or less . 201 amps to 400 amps . Over 40l'to 600 amps ". :'Over 609 amps or 1000 D.. Branch Circui ts Signatur~lPfJ;b:g Ele.etddan Owners Name ~ 1 ~ J r?tt Address lOin E<. . $ 40.00 $ 55.00 $ 80.00 volts see "B" above '" ,." :~ . ~ '.. N~w,Alt~rati~n or Extension Per Panel '$ 35.00 ~. ':. . One Circuit : .\' Each Additional Circuit or.wit~ Service' oi Fe~der Permit City Phone OVNER INSTALLATION The installatiorr is being made on property I own ~hich is.not intended for sale,le~se or rent~ E. . . Misc~llaneous (Service/feeder ~Each~installation' Pump. or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm Ovners Sign~ture: . . --------------------------------------- '"" 5. SUBTOTAL OF ABOVE . \ 7% State Surcharge. :3% Administrative Fee. TOTAL>' . DATE: RECEIPT #: RECEIVED BY.: ,,-:. '"' $ 2.00 not included). 40.00. 40.00 : 20.00 36.00 .. $ $ $ $ ;~.4G. ~.I{, , 1.0";) . ~J'.f7D !.'