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HomeMy WebLinkAboutPermit Electrical 2000-2-17 4'., .. \ . To, In!lowlnp protect as 'lJbrnln.~ bU lbe following , I \lflP end does not require Ipeoific land use o;.;.lovol I-D(Z.:- 225 FIFTH STREET Zoning SPRINGFIELD, OREGON 87;77 ;2,-1<- 0-0 INSPECTION REOUEST: ~lb-~/b~ ~ OFFICE: 726-3759 Awlno"..a 5.gl18Mti ~ 1. LOCATIOfl OF INSTALLATION L...e.... ""tn A . LEGAL DESClUPTION l~o'2.-0!o'3 Ot"iO/) '3 q!3A >. a....r-.~ ~ JOB DESClUPTION S.~.{/..f[S. Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor l/~ ~_~ Address ttOCJ fl.lJVl Ave.- Ci ty tww L Phone (g, 88 ~ S<-lo ( Supel'visl)l' License Number l.f6b'i S Expiration Date 10- 191 - 0 I Constr Conn, Number 2'2 -/ ~S~L... Expiration Date 10 - J - 00 Signature of Supervising Electrician ik-J;1~~ - ov~': Name ~ O~ rk '3 Address aQ~ H'l'\-Z.:~tN\.l'""r" Ci ty Sfl1l'-f>l./<1I) Phone 'l'-lt..4-C2'i(P~ OYNER INSTALLATION The installation is being made on property I ovr. vhich is not intended for sale, lease or rent, Ovners Signature: DATE: RECEIPT I: RECEIVED BY: ELECTRICAL PERMIT APPLICATION Ci ty Job NWllber 3. COMPLETE FEE SCHEDULE BELOV Nev Residential-Single or Hulti-Family per dvelling unit. Service Included: Items Cost 1000 sq,ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Hodular'Ovelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 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 Su 1 $ 85.00 $ 15.00 .$ 40.00 S 50.00 S 60.00 $100.00 S130.00 $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 $ 80.00 see liB" above Nev, Alteration or Extension Per Panel .' One Circuit Each Additional Circuit or vith Service or Feeder Permit E, Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 S 2- 00 not includec $ 40.00 $ 40.00 $ 20.00 $ 36.00