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HomeMy WebLinkAboutPermit Electrical 2002-4-30 • ' �225 FIFTH STREET • 7 �f - ELE CAL PERMIT APPLICATION�„ ^'',� 1SPRINGFIELD, OREGON 97477 h 4� i 4 } ."` "' '� j 3 x r, ,INSPECTION REQUEST 726 3769 i r City Job Number :•0Z ©d C( �� U I• ';',&'',',:'‘,A t.OFFICE 726 3759 ` f 65,11 + e i t 1 .is "' "' ?x. °t , t + 5 ! x t t. k, 5 C , , . 4 Fi , 3'` COMPLETE FEE SCHEDULE BELOW ' r i s I LOCATION OF INSTALLATION t' t s=_., : . t"=� nt t., %` '. 32,15 e- \ ,``.5- , -` " „A. New;-:;:y4=_.4'4':"/ esidents l Single or .-:.- • �� �® Multi-gamily per dwelling unit. LEGAL DESCRIPTION o (703 Z7ZZ o4860 Ioleccas5c�m.„ed d5cha.,dut��ct Included: Items Cost Sum �, ;1.:.$''''''' JOB DESCRIPTION cr'e •O and dpes not tegi -1 '•' sq.ft. or less $106.00 x.' 7. roman•, ? 'pnov-t £Lt . S-C( J ce ,.& ro3 �0• Ea • • 1 tonal 500 �.;� - 'so • 9)0 sq. ft or '?n ,`• ?, • : Permits arc non-transferable and expire reof $ 19.00 t " if work is nth'started within I8(5`dtiys Zed Stgnatute Each Manufd Home or ^^ of issuance orif work is suspendeclIf Modular Dwelling i .,. : 180 days. x�aa Service or Feeder �x x $ 50.00 i 75 2. CON TRACTOR INSTALLATION ONLY B. Sen ices or Feeders o s_,° "` 7 _ Installatum,Alteraiinns. , Electrical Contractor - Relocation: sipc0 Q�0\"�p(th ;: a �= , �� O a� e200 63 ` Address r vv<x 20tvv(IIet?A c's g5 �95 �Sby t$ 63 00 a �O� � 4t't 0..s.\Op6 $ 7c 00 City Phone r �N � 5� fi t \eP, aKo $I 00 Ii ] 'i c,,,:,,-,, `/ , ' P - �N (MR-IS\i O� ;$163 00 ., . . ,SupersrsorLicenSeNumberf .\ \ i- �o�`\pPgy .. r be 2Z. \� • $3500 . YY , E1plC lTlOn Dale x a ������ggqt� ' n a roc: ,- ' w "' Ct �ii. s if 34 t`cices or„Feedes s r qtr �Constr Conti: Number :0,11,Alter thou:Qr.:Reloc ttion Y :s r - 4.d '' `N. Expiration Date •:� t t ' 200 amps or less - $00 00 - ' 201 amps to�400 amps £ $69 00 i •? Sr n ituic of Supet-aising Electrician " Oter 401 to 600 amps v4 -r�-$100 00 Over 600 amps or=1000•v olts sees B above _:-1 O Qom; r, D. Branch Circuits 4' (; t Oanu s Narne RO 1 v`-+ Aea Ateruonor 'i r a Address�3 -� rl�'S'I _ �Orf:tikr -p+ $4300 ' 0k E W Cits SY ID c. Phone -3A71-�i -11 SW' I` �i tt• m 4 idithSentce _ wx = � .: -_ 3 00 OWNERINSTALLATION (� �pQ The installation is being made on E. 11ssc�IT VS(Sen ice/teedei not included): . ,property I own which is not intended cli:installaion_ '' fof sale, lease or rent :•�:" Pump or rrngation 4 •'`$50 00. Sign/Oi Cline Lighting $50 00= O.„., Signature:,uLimited Ener6 /Res mm $25.00 Limited Energ\/Co $4c 00 I90 33IH2 3 Minimum Electric Permit-Inspection Fee is $45.00 Sm•cha ges. 39NUH0 5ii•ZL $ z•Q33dJ Iry 4. SUBTOT,ALOFABOVE' 6 ; .• Z00Z. 0£ 88d:31d0 7% St: O Surcharge tft•(( _ 7,9L8000-IW1t3tld'd1 ` • s% Administrative Fee 50`. TOTAL 72 t" • u 749 n -100 sYJ ) woe/ ii.1442 .4 d 71 D D T--I 2'- m m cc C7: .. n C7 0 D ].J .. T 0 U7 P]?l ri L 0 Fri 0 r 0 -n ^J �• CDW O 0 Ct c•m cr o � r-• •• cr ro ro