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HomeMy WebLinkAboutPermit Electrical 2000-7-11 ...0 , _ J. L 00 AMI RECD:2 $ 53.90 CHANGE: CA8HIER:QOl the following , .\ted has e , 'ect as subm\ cifie land US -r\16 following pro\ not requiTe spe , " nd doeS {,oping, a , 'C:.... Q....." I 225 FIFTH STREET ".\lPro\lal loning ~ _ crO "LECI'RICAL PIhuiIT APPLICATION SPRINGFIELD, OREGON 97477 --1- II ," " ,'" , ' , INSPECTION REQUEST: 7QfJf2. ~ity Job Number()O -(Q 1077' -0 I OFFICE: 726-3759 ", "I\;.Jlil.\:lCl Signature rw' 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION,OF INSTALLATION , (00 W 4 (5{ Sr , LEGAL DESCRIPTION )/O~:SL. 6/10 ~srorn) The installation is being made on property Io'Wn 'Whi~h is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: 7 -/~- t57J ' RECEIPT #: c:2 b t:IO RECEIVED BY: ---IJ, {'y)O ( .f-> {if} () A. , Ne'W Residential-Single or Multi-Family per d'Welling unit. Service Included: , , Items' Cost Sum 1\ I i JOB DESCRIPTION, ~ 1000 sq. ft. or less ~ I!/?: l~ ,?~..J'S ~ (;K\. ~~ ~J...~ E~ch addi tional. 500 . .._"......",.',...c:, ",,-,'Ie v ~4.... sq. ft or portIon rJrr~iwsUliiltelCrf9n;~tl:;?Q.:~;f~~~~i~ tin~, expire ' thereof ilf)t~6r,kOfi&En.ot1',st~C!'!";~e<!l<:}f;iC,~~iJld;11.q days Each Manuf'd Home, or 6fOi~ssu'anc;e.i O)TYltfn1".9S:"'~i ~~i:~!:Nj;P_D~ped for Modular Dvelling ;U800~ays:nay Obtaincopi8:: at tl1,; -i'l.lles t" Service or Feeder calim~ifi0 center. i~\lotE' Tnt;- rPI'-"lnn"'e 2~un6nNTRA€IORrJNSTALLATION~ONLY , ,0'__ '-- .".... v "'~Ull V!.lill} i\iUUTICanOr ::::::f~;~;f6~;~})~~ Ci ty FVV:7~rV.e d@Phone .s7f - ,J~9?Cio , / Supervisor License Number cf7 zcj 5 Expiration Date /O/c/ M / " / ' Constr Contr. Number \LtS07-'-/ Expiration Date ~~~~~ I - I . Si~~~su~~ctrician j"\/ /. - f{>'Wlers Name ~ Jo.5~~// 75LdAC/'" 1/' Addre~s j2S-';;'5' W/$/'/.4- ])12. \ City E~qLyVe.: PhoneSW-3~-9For ~ O~INSTALLATION $ 85.00 $ 15.00 ,$ 40.00 Services or Feeders Installation, Alt'QRH.:I~aOgLANV o r R~~i1NiliJNV8V 8180 a30N3~~OO 2 :tON 81 11'~!{.31~k~183aNn a3ZI8<$H$61DOO 2~q~~eJl ~ij@1xai~)1V'HS 11~8~ gjPli 00 401 amps to 600 amps ''"''I"SJ.Q.O.~OO 601 amps to 1000 amps .~v~~OO Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 B. C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT 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 ,. Ne'W, Alteration or Extension Per Panel / 'Jc"~ $ 35.00 ::J...)' 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 7 ;f~ $ 2.00 not included) $ 40.00 $ 40.00 $20.00 $ 36.00 11 'i f<?2 ...5 - '-/5 /. Lt J "C:;,2, , 't} u