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HomeMy WebLinkAboutPermit Electrical 2000-5-11 . ~ .. . . ubmitled has the following The following project as Suire specific land use zoning, and does not req approval.. L-l'fl-- ZOning 225 FIFTH STREET ~":II -tf'D -'\ 911le - V-' SPRINGFIELD, OREGON 974 I . S' lure ~ INSPECfION REQUEST: 726'.lI!l'111~d Igna OFFICE: 726-3759 9 DATE:MAY 11 2000 , AMT RECD:2 $ 22,00 CHANGE: CASHIER: 059 F:;:;ECTRICAL PERMIT APPLICATION City J~b Number 00- 00> :S:5$-C> { 1. LOCAT/lN OF ~STALLATION 'j{ Ii.! ),,111 pi LOtll> I LEGAL DES~~Iqtf l-=t-Q> ~ ~.~ 0;)..\0-> JOB DESCRI710N '" m; -lId fYllfq I '; Ifu" m( S'(~+Hld Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 1BO days. 3. COMPLETE FEE SCHEDULE BELOII A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Sum Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular .Dwelling Service or Feeder 2. CONTRACfOR INSTALLATION ONLY .B. Services or Feeders n . I, _ Installation, Alterations Elec trical Contrac to4.-Jivl r><i /),rt r'L U}:~/lnt.l!J)n.ror Reloca t ion: Address P.!J. 0OY.. t./ 051-/ i . ,,::J ~;; ';;':1,.': 200 amps or less to' 0.:: . ~. ,l' 201 amps to 400 amps City '( (11q uLl/ Phone SI-IJ},{J''lt.//-Cf,01c'/l 401 amI's to. 600 amps . a: {' ,..::.. .':.,' 601 amps to 1000 amps Supervi.$or License Number .J.g~t;j k.E ,;; Over 1000 amps/volts .' is {c i[f..if' Reconnec t Only :i Z?,-C' -r :~ f ::. ~ f 01- ~-- ...",'~ C '; F .. ..... ... ..... a . Constr Contr. Number q <K ,.,-0 ~ ~~, (f: . 'V Q ,....,..... ,... I . ".. '-~ .: ,.f:: ....) EXPiratlt'o~n Date W O~!~:.? It. .,,:- Sign(] 0 Sup ViSing-Ji$~l~!Ci~::';(- P~~~-::::3 - CO) I\.,I E: '"' () .... r Owners Name j u.l-uIL g. I-J. oYh..-RJ15 Expiration Date Address v P.O. Box. 142..5 City ~ ul Q f'Ju.,.., " Phone 6L/1-1t-/tf'1t.rf<.O OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: tu."..J.i'f II' RECEIVED BY: $ 85.00 $ 15.00 $ 40,00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation D. 200 amps' 'or less ,..I- 201 amps to 400 amps .~' k. Over 401 to 600 amps(;-o.~ _~...; Over 600 amps or 10a0 N6i~s . ~'~' <P' Branch Circui tsr:l.~ q,qJ' .$7 <fJ p (.')0 New, Alteration~r ~ension ~~v Q0 ~ One Cj.<i{,CuJ::f'3 .:# i::'0 Q' Eac~~a~ti:@akl ~O Cj(D::uli.'1ii ~oIw!tth~<Service of'-~d(l1 ~~t~4: $ ~ ~~r;:,<:;j Miscel~a~~uS8(service/feeder -Each ins~tlation Pump or irrigation $ Sign/Outline Lighting $ Limited Energy/Res --L-- $ Limited Energy/Comm $ E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 55.00 $ 80.00 see liB" above " Per Panel $ 35.00 2.00 not included) 40.00 40.00 20.00 36.00 'U'.o~ "L/).OO i. 4.,0 , 61 0 1...'1, . DiD