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Home My WebLink AboutPermit Electrical 2000-11-22 .' . SPRINGFIELD 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 PERKIT APPLICATION The following proje t zoning, and does ~o~S SUl)I11Jtt.ed h.8.S the fOIlOW8\!mCTRICAL 225 FIFTH STREET a.plIroval req"". specifIC land use"'..... , SPRINGFIELD, OREGON 974// ' INSPECTION REQUEST: 726_376,onin~ L1:JIL City Job Number CPO - D/7 0 Ii' -01 OFFICE: 726-3759 Date If - '2-1,..~ db - Authorj;' _ :L ~ <,ut'll'LB'l'E FEE SCHEDULE BELOII 1. hO!<ATION O~NS'rAI,LAT~~~o S'Y".l",. 1'.4AJ f If ~ 0 > ((J -IT K A. New Res{dential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION 1703 25'--/3 OC> I 00 JO,ll. DESCRIP'I,'I-Q)/ )(""{G/-'!,"jy 77rf...--r 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 Electrical Contractor ADT Security Services Address 4660 Main Street. Bldg A. #100 City Springfield Phone 736-4973 Supervisor License Number 853 JLE Expirat'lCon Date 10/01/02 Constr Contr. Number 26209CLE Expiration Date 10/01/01 S~7 ~e~cian Owners Name ,a{"~/- Address <:1 A ..--<' City S Pf','J PhoneV' y-q--:2 &J L O\INER INSTALLATION The installation is being made on property lawn which is not intended for sale, lease or rent. Owners Signature: ~ATE~----------~~7;~~~--------------- RECEIPT #: ':> '6" I RECEIVED BY: ~ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: Items Cost Sum 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 $ 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ BO.OO see "B" above New, Alteration or Extension Per Panel One Circuit 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 Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) ( $ 40.00 ~ $ 40. 00 ~ <::> :<f ~ ~~Jg a~t- :D .. c:l C> en ~c~ 7c::g:;~m",,6 rTl::X: t'.JO "'Tt""''') 0 .. ::z:: l'..:I f'..J L>J -.f7',,: ace ?7~Qg~ . '. ..;.... . SPRINGFIELD The, following pr91 ol~q'~i;;;;,;;li1c land l z.on!no. and doos n approval. 225 FIFTH STREET z ' LECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974770, II 0'; fl r\l-'"\.A r:;.. -:A. INSPECTION REQUEST: 726-3769:Jot0 -d. ,..., ~City Job Number V\ (A K -...) V OFFICE: 726-3759 1 sture _ Authorized Sign .j. W PLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTAWTION /q.3/J ,J,nll +I- ,t:;, An A. New Residential-Single or Multi-Family per dwelling unit. Service Included: \f\ r30~~~ION ff) \rD A JOB DESCRIPTION j Itf'.M I IJ So T7+LL- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for lBO days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ADT S..r,..rHv <:vo....ems Address 1501 Pearl S~r"e~. <:..i t1' n City EUllene. OR Phone_~~1_1~?_1111 ., Supervisor License Number RI777,TJ." Expiration Date 10/01/96 Constr Contr. Number 59944 Expiration Date,0~/?9/q6 Signature of Supervising Electrician __ ~J~ ,F Y L.-~ NameiJEi!.3..<.,:t:L..fr\fI ~l= ss ICJ 30 Aor. ff Ro AD Ci t~ ,.,(C. Q7LL71Phone.51J1. 7~~".< OIlNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: --------,--., 4-Z'C{J,I()~~1-.5' RECEIPT .: .. JI. . H vJ RECEIVED BY: C\WJ\.... Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular, Dvelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to, 600 amps $100.00 601 amps to 1000 amps $130.00 , Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation D. 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel One Circuit 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 Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) 1 $ 40.00 $ 40.00 $ 20.00 $ 36.00 lQ...Q.Q 20.00 1.00 .60 '1 F."