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HomeMy WebLinkAboutPermit Electrical 2000-12-1 DEVELOPMENT SERVICES DEPARTMENT The fOllowing projects . zoning. and does not 5 SU~mltted has the following approval. reqUire specific land Use 225 FIFTH STREET Zoning J...l)t'l- SPRINGFIELD, OREGON 97ii>l~ ..b 01 - ai) \ INSPECTION REQUEST: 7~~aJ.l;q OFFICE: 726-3759 zea Signalure _~ 3. 1. LOCATION 01(;, INSTALLATION /5' 'S I l' 'f2.t:-s ('" 0 TI LA! LEGAL DESCRIPTION /7032-74/ 02JOO n JOll DEIiCRIPTION , ,k \ n ~ (\ /,\', '^ k 1(:9,-~~ ~~ ,,~ ~ vwV'lOOl l ' ,()J.AJ.5 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--1fly ~1fl"i'l'k-~t\1(j \IJ(, Address 3d'3 \ b R.~\e-.j 'l~ . Ci ty Q~4P ~hon~ ~b 1- 03 IS- V 74 r - " '3 7'-/ Supervisor Lice se Number ~ ~~.~ Expiration Date /d J / () 1 _ __ Constr Contr. Numbr 8'7 SOt, Expiration Datel/J~:oI 0 \ . . sE:L:~(\e~trician Owners Name- 11 ~E/h/ ):';d~v'. Address /~c;/ jJ;EC,6.-rr LJJ / Ci ty~ ~A'/ /k;..j1~/d Phone 7&"-d9J7L O~ INSTALLATION The installation is being made on property I own which is not intended for sale, lease o~ rent: Owners Signature: DATE: 12c)(c= RECEIPT 11: S?z-'t RECEIVED BY: J'i1C 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726.3753 FAX (541) 726~3689 ELECTRICAL PERMIT APPLICATION ~ty Job NumberOO-O /7'-fO-O( COKPLKn: FEE SCHEDULE BELOll A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 200 amps or less $ 40.00 201 amps to 400 amps' $ 55.00 Over 401 to 600 amps '$ 80.00 Over 600 amps 'Or 1000 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit .1 $ 35.00 3~ Each Additional Circuit or with service'1 1<6' or Feeder Permit $ 2.00 E. Miscei1aneous (Service/feeder,not included) -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00' $ 40.0!'!i ..... $ 20.00";;'=: 'i'? $ 36. O~ rtl13..-- n.-# .:QJ "" t::l .. -a.> .. rrI <::> ....... ......t"")....... '3 ~~ '^06 ,.,."x .....0 ,~-(- 0, '; ii~ ~ O"fT"1UOf'"J .........00...0