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HomeMy WebLinkAboutPermit Electrical 2002-10-1 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ELEC ...lCAL PERMIT APPLICATION CityJoh Number CJ/ - t}O$~'!~;~::~~ i~fH 3. COMPLETE FEE SCHEDULE BELOW 1. LOCATION OF. J'STALLATIQN +......... 7 768 SCl^J -+11\ A 'C<:;rr~~_ A. New Residential-Single or Multi-Family per dwelling unit. Sen'ice Included: LEGAL DESCRIPTION /75 :2 tV See. 3(, Items Cost Sm:n JOB DESCRIPTIpN fc....wtf S,Y~ [~ sL IL 1000 sq. ft. or less Each additional 500 sq, ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder $106.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, $ 19.00 $ 50.00 2, CONTRACTOR INSTALLATION ONLY B. Services or Feeders b ' t Installation, Alterations or Electrical' Contractor K",-dl\.. ~Ow pc. w..p Co TIJC. Relocation: Address 37111 'L)41C4A ~\c>-",,--i ~ Cit)lie<i\~~Ii\.{ H ~tt Phone 7cJ.s NOTICE: " THIS PERM~lP~Mi.M..r[~sa.~J!fu1f~f ~ifS:~f&~1\\R~~~' ANY 180 ~ftF8!Qg..Number.atq'7 g Expiration Date /~II / (3::L . { , Sigll'/I'el'SUI~e5SiVlectriciall ~'r"- ~ A~~~,::;N4~'f~ I~~~~D ::N:~:2J~c (, (J t. - /'17 7 Over 401 to Over 600 amps or "B" above Branch Circuits New Alteration or Extension Per Panel One Circuit $43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: E. Miscellaneous (Service/feeder not included) -Each installation ~ Pump or irrigation I $50.00.s~ Sign/Outline Lighting $50,00 Limited Energy/Res $25.00 Limited Energy/Con1Ill $45.00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges TOTAL \ L)"b . <-) U .3,~D i./ . crt> I .) ,;:;7 5 c 4. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administratiyc Fcc