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HomeMy WebLinkAboutPermit Electrical 2000-9-21 . I The following project as submitted hes the following zoning, and does not require specific land use approval. Z . LT'l r'L- 225 FIFTH STREET o01ng ELECTRICAL PERMIT APPLICATION SPRINGFIELD,OREGlm't9":':' 4 ~ 'l-'~.lO"ln> INSPECTION REQUES'liiutho1i~~i6~ure_C1>)..J City Job Number 00 -OlL{$Z-,-O/ OFFICE: 726-3759 1. LOCATION O. F INSTAL~TION 9S7 Qu:~A-f-/- LEGAL DES~PTION /703 Zb'fZ C) 6600 JOB DESCRIPTION~ s... "" - p~(,'"( ~r.-/- 7 c, ILc....,-.J-s Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. Electrical Contractor l2,llU1.l1..B.,OS. f(tc.ft( Address --Yo I <;<1 "BtyI:r~ tt If ~.~ City~CI~ Phone ILlI-Z-7V( Supervisor License Number $J../ ,C:; Expiration Date /0 - 0 I - 0 I Cons tr Con tr. Number _? () -Lj 4 7 ( Expiration Date /.0 '01-00 st~nu~ super8s::wLl."..'''d~ Clners Name (I,lL L, ) V'lk:..iH2.... / -J-- ~'-, '^-.A- ( Address 9 ~ 7 Ci ty ~fr, "'<,~ ~ Phone . I OVNER INSTALLATION 726 -I Z'f 2. The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: 092-1=0 RECEIPT #: .26"1 RECEIVED BY: J'..r< 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 ~TI 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 $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circui ts New, Alteration or Extension Per Panel .' One Circuit f $ 35.00 35 Each Additional Circuit or with Service ,2 or Feeder Permit j." $ 2.00 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 not included) $ 40.00... $ 40.0!! . $ 20.0g,;~sg $ 36.0~;::r:!~ -f?";;.o g='; (~ ~ C; ~,., -:l ~ ::I:b~ I ;" ~~I->;.:t g '(27~C51'.)8 -L.J::!i:f....,;,o1 -_~ . o-.m-Jaaco 1-"..000.......