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HomeMy WebLinkAboutPermit Electrical 2001-1-30 r.- ."", .-.4;~. , ,'- L 'i 000 I - I , .- _U . ~-J qJq4 . .DATE:JAN 30 2001 AMT RECD: 2 $ 88.00 CHANGE: ELECfKICAL PERMIT APPLICATION CASHIER: 059 The, following project as submitted has the tollow zoning, and does not require specific land use approval. Zoning f j1 225 FIFTH STREET Date 1- "10 -0 '~ SPRINGFIELD, OREGON 97477 .. . INSPECTION REQUEST: 726_ffl&nzed Signature ~ OFFICE: 726-3759 -1. LOCATION OF INSTALLATION 'i)'1() ~lf/!~~ LEGAL DESCRIPTION 1'7-0~/SsCj 00<:900 .JOB DESCRIPTION (J'II D ..~ \ .. ~ T~ ~/J' - .,e~}5/ft) Permits are non-transferable and expire if work ,is ..notstarted within 180 days. of issuance. ot- if work is suspended for 180 days. r.itv Job Number 3. . COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: o o.~ Or:?-q (Y - 0 J . Items Cos t Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof' $ 15.00 Each Manuf'd Home ot Modula~Dwelling Service or Feeder -$ 40.00 ,:8;- Services or Feeders . ",;01/\ ilhstil}l?-tion, Alterations :J:J rY. E.. ct.. . jl!IIC~ r ~. -/....1'" .' , 'r I=:. 1 ' 'C.i"rrlo:r, 'Reloca't l'o'n"<:_." ,. Electrical Contractor.' NFINJ , pC,.; .-" O/'.q. fl. _ ....-..'"1(;~: ;-'1.-' '.'. \"Jr:JQ{lr,! 'j. M" ...." 0-0 . ")~'- I ", I'. Address:2 3:? .;p.~ N C fJ.;4I.V.r"1'-' f<p 0090. Yo~fOO 1;Mbl~(j0:r;~1~~~S :;!rr:.c S~t ~{. . , ' _ . c. 'a/line 2IQ~Y alhp.~$int~;lr!J. ~.QO Q. ~{fjs)52-;);l ' . r ~ ~ .~ '" ..j ,- . .. r . -, .\-~ Of;'/.. . Ci ty 8rus "- fJ~til/"'~ . Phone ;::. 03~cyOCj-()[; g,l,.P.'DOt::n'&Pt~a!jf1pSil'~8{,_69...0 ;a~p's'U/A~ jo., c.J(}. ... r;,,6011""amR~j0to, ~A.000Ga:n}JI;;)n" - S~pervisor License Number ;;U.p 8'7- S. ""O'Vet-; 10(ro,:ta:~'p.gYvb:WjYj~'2+;~~ _Reconnect OnlY"',-141 -....". 2. CONTRACTOR INSTALLATION ONLY Expiration Date /0/0 i C. Temporary Services or Feeders Installation, Alteration or Relocation , "" . 200 amp's' 'or less . $40.00 .; ',".-,Z:CH amps to 400 amps - $ 55.00 Signa ture of Supervising Electrician T'''liS pCROAver 401 to 600 amps $ 80.00 Q ~ '- I"'']:''H il . A'f7'HO O've,r 1.6,~Ql::amps or 1000 volts see "B" above . ~rc" - . - ^.,- f j RfZED U I ~c;/\I- diE' IF TH (/ .. ~Ofv1fFjfNcB.~an~RFel'Hdlif.itt(SRM E WORt< Owners Na~e C:~U1r',u.,^ ~ D..R..\\-eJQ,ff~NY18~DA~u~RISA8AN;.~~, 1~/SNO'f . "'2 ; I, . \' \/ . L Ne~_;R~tJ:erat10nEldr(1j:f'tenslon Per Panel Address J LjtJ:S Eo.. 0'0'-'1 V ~ GlliV' h.. . ~ One CIrcuit City .Jpll{'l{ Phone ?l.[G-g"-itiL/ Each Additional D Circui t or wi th .Service ~ () OlINER INSTALLATION O,r Feeder Fermit 15 $ 2.00 3'V ConstrContr. Number ':1)- tptp 9- c Expiration Date I 0 - ()/- {) I The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- . DATE: I, .~(lJ- 01 RECEIPT #: -'13 <fJ-( RECEIVED, BY: w :) E. _Miscellaneous (Service/feeder -Each installation Pump o~ irrigation Sign/Outli.ne Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 50'.00 $ 60.00 $100.00 $130.00 $300.00 $ .40.00 ~ 50 ,. $ 35.0Q not included) 40.00 40.00 20.00 $ $ $ $ 36.00 ~ D~0 '$y