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HomeMy WebLinkAboutPermit Electrical 2000-6-29 .. ...-.-:.. . The following project as sunr:~IW.f' ~l:\_ :').~' -'10 . d does not requne spe~itlc..: lana lJSe zonmg, an approval ,J-J> rr- Zoning fp -,?.",! - IX) ;<,u-/ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 Date INSPECTION REQUEST: 726-37~~tnu",.Q Slgnatur. OFFICE: 726-3759 1. LOCATION OF INSTALLATION 4A I v..L..9U~,," If. fff~~~\ON m\ol JOB DESCRIPTION , Vfr't. ~tvh ~..k.=..j)""'A1< Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor lSu2.L<r II~. Address....Yl\Ic:;-<:L~~.:.,.!L.W~ ~.d __ City ~ Phone 1tf)~ZI7L{_ Supervisor License Number '/- 7 J/ S Expiration Date /0 - 0 (J 0 I Constr Contr. Number__~J)-C{Lfl_C: Expiration Date 10 -() I - <YJ '\~3r::n: super~::JT~an U=.," ,...1 ~ Un Address ~) uJ ~() ~ ~(D;O.. ') Ci tyjp bUL Phone(08Q {)~ 13 ~ \iNSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: 062-900 RECEIPT jf: Z37/ RECEIVED BY:J::>g ~ AMT'RECD:2 $ 42.90 CHANGE: CASHIER:Opl ELE&IlUCAL PERMIT APPLICATION ;:;-~L.1 ..~b NumberOO-OO'&,3:"C 1 B. 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 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 Circui ts $ 40.00 $ 55.00 $ 80.00 see liB" above .' Nev, Alteration or Extension Per Panel \ $ 35. 00 ..~S' 00 One Circuit Each Additional Circuit or vith Service or Feeder Permit ~ $ u. vOv", 2.00 .::I.:..- not included) Miscellaneous (Service/feeder -Each installation Pump' or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 ':J9-~ zu. I !2.. L{ 1. '(u