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HomeMy WebLinkAboutPermit Electrical 2000-5-8 .. -_NGFIELD ,a..l tlij~ ana does not req . ..5 e 0 owing alJf.tIQval Ulre specifiC land use J.,'fjl<, ZonIng [late fJj'~(f,,~ 225 FIFTH STREET "'''''ifIU(fL~U t:>/gnaturL'l SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION P,J::..lljSTALLATJOli.. .33 R?? .$. ~I)a-;I lxi V~ LEGAL DESCRIPTION 9q /V\ I5?O;J,06'~ 0 L.U '1 JOB DESCRIP:I,;roN /_ w't$ h.ei" '" t')e<.A>U(ClAl"t~ -~rv...r , Permits are non-transferable and expire if work is not started vithin 180 days of issuance or if york is suspended for 180 days. KeJ AMT'RECD:2 $ 40.70 CHANGE: CASHIER: 059 ELECTRICAL PERMIT APPLICATION , . , City J~b Number OO~0066.~-01 3. COHPLETE FEE SCHEDULE BELOII , A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd ~ome, or Hodular'Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: Items Cos t Sum 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractort!J.,fJ."> FJ,..,.JOc. J /n,-, I . AddressQqf? J3~1 f)Iive... . Ci ty E<<.LC1fl.n e. Phone /,!? f -I-, (,;2/ Ii Supervisor License Number :;J. 7/9:5 Expiration Date 10/0//01 Constr Contr. Numbert;?O-/79c... , AU",; , Expiration Dat~ h~e%fO Signature of -su~rvlSi~ Electrician ""~'~ ~.~ . 'c 't-c;3'f '~ . ~ ./ .~ ""1).- lu -~ <( . D. Ovners Name,S".j....ve. A-~~~ ~I'\ Address 3C)gg> :$ '~~;~d I:\r:ill'e... CitY~(';OO:rip\dl Phone ~~zJ~? 1 U '0'", 'Q OIINER. INSTALLATION '~1> O'1o,>-:fSIT The installation is being made on property I ovn vhich is not intended for sale, lease or rent. $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps r.40~ amps to, 600 amps ~~~0~\amps to 1000 amps 0,,'/0 ~0\;:er"1000 amps/volts v&'o '1'-'$lR'eC'o-nriec t Only A O...."'t, . J S1<\u,I':> ...'l('l , /'. ....~. '0 '-<.~ '0 "',..,', ?6 '9.; C::__1'el)lpo!"afy,Services or Feeders <9".., 0", II).s't(<;~<la~t:ion, Al tera t ion or Reloca tion "'. t3-t. 0_, ~'" )" ", ~'" 2Q.9<;anips' 'or less ,CZOi,amps to 400 amps Over <:401 to 600 amps Ove'i'.)ioo- amps or 1000 volts Ovners Signature: ---------------------- DATE: RECEIPT If: RECEIVED BY: '. Branch' ,Ci rcui ts $ 40.00 $ 55.00 $ 80.00 see nBn above .' Nev, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or vith Servic~ or Feeder Permit I / $ 35.00 35. 00 . "..00 $ 2.00 0(. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. 37.00 SUBTOTAL OF ABOVE 7% State Surcharge ,~ 3% Administrative Fee I .::. "/U TOTAL ltO,'/O