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HomeMy WebLinkAboutPermit Electrical 2006-3-7 ~~ ;Sp,,;A .1. t) I f2f1L... . ~.~ ~ 225 FIFTH STREET. SPRINGFIELD,OR 97477 .' PH:(54I)726-3753 . FAX: (541)726-3689 l~~~ -.~ ~ .;;~~ ELECTRICAL PERMIT APPLICATION 3 ~~~,iJa. ~ -' .' City Job Number (~ornQOOh-()nI07 Date - 7 -() lfJ . Ii L/-~cA4~ Iivu:o~tlfl:i3:{::~;ti~ / . , - LEGAL DESCRlPTION 1703.05 3;;t 03;;lDD ~r;;~~;~~: D}VqCr/r'fJ(ob) If' --.J. 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. :...~?~'?i#o/q~\~~~I~~:t.ltf~ri!kli~~~~N~ Electrical Contr~RELl BROS. ELECTRIC 1'.v. cox OYf WaltervJlle. OR 97489 541 74727:1 Address City Phone Supervisor License Number Y 1 "J 5 /0/07 I I~VL/~f.p 10/D7 a\O~;;;;';'p)~\l- . Owners Name l.;u,Vd ~\l ('~ Address 2140 (' P YJ't-ffln,{uLP Phone 4gS-w840 Expiration Date Constr. Contr. Number Expiration Date City ~0'1G OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. .~'.. .'.1..... ", ~, ,_ . _ ,.... '''''I '" " ._.. ,,'- . .,> C,. ..,.' . . .' 3. ':;j:::OMPLETE FEESCHEDULEBELOW" : . 'Ii ' ,. ,'~'. ~.."""","':_",,:, "'_;,\'>1', ~ ':.., '~',:'..,.' '" ^',..,\1:.~ "l..;' 'V' I "c.: : ",," ~> . "....' l-<!'::!i'n.',~': '):1;"''',>:i~'.~.):,''':' :1'l'" ,'. ,~,.t' '..:~~i~'ll.':':" ',t:"'_:.H'~ _.....-": .~.. ~ ',,, .- " . . ~ . A. -:. .~.~~v.,.R~!~c"~.~i~I' :~;~~.~gl~ ~~, .~! !J_l~~!r?~.i~r. pe~,~ ~~'-e~Jing: uni t . . l__",...,..~,_",~.".." ..A..l"'.~~'_A__ ..,>. _.,..'........ .... ',' '...." . .~-. . Service Included 1000 sq, ft, or less . Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or ModularDwelling Service or Feeder . $106,00 $ 19.00 $50,00 ~tl';'!..'f;\~.~~;::~l:;~r.':i'i!'l~~F:'i';:lIiti~l'~~;:~~"~r-,~.t.- l\B:,,-::'~':~;:;;:"~:S:l_:::;.:;' ;".:,l; ",,,.;-, 1"', . : -''.., BN10~im' . 'or:Feede"'s~:';:'Instal1ation-.;Alteratioris~of Relocation:: , ". ~'" ~,"'.1'~'" ""'" ",'" ",f,~.,~-'~ ~-i."'~;"' -;;'':':'"'~!F!.'_''_'' ,,-,;..'. ::""":"!-'," ~.. , : , ' ". r",L.....'il~,.....;';l:~~il;., .' "",t'. .%~~.,1"...", _~ _~. .._..... ..' f .'~'~'.' ,... " .' ' 'Eb\lSJi\~,po'r1Ils.sHALL EXPIRE IF THE WOOKio &biJT~~lilf4OdJ~l{;'p'iR THIS PERMIT IS tJUToo G6:l1\W,ptlro'6oolAlihplP ABANDONED FORm5.00 .M4Y,4\j/Hj~oo&Wi\JP1D, $163,00 Over 1000 AmpsNolts $375,00 Reconnect Only $ 50.00 c. :;~! ~:,~R~l1~~~:~IT~~t~Y:f.~~~.~~~~p~~~Q:\'~~,:."~,~: :>',:\": ,: InstaUation, Alteration or Relocation I 200. Amps or less . $ 50.001iO. 'DO 20 I Amps to 400 Amps $ 69,00 401 Amps to 600 Amps $100.00 ovefl6'6ifAIDpS'oi:l 0'00'''' oltstsee 'mq abo~e,you to D, ~ Brfi~~}3i~~~it~:~~'~~~t)!P'PifEi:Qmg()nlilili\y r\C'"1f~."~'~(;,;"~"C';~'~...;l8"t'tl;o~~; r;';lesLare IS at forth New(AlteratlOn.or ExtenSIOn Per Panel Iii d,.".; _~'l1u. -',_I\.)llJ l~I:OUnn uAR9fi?rl01- One Circuit,. ,.....~.. ~ . " . $-43.00. E' h'A'dd't" 1 C" "t' III 'tli')'~~ u, ",u ,U1es oy ac IlOna IfeUI Of~l.. t' I Service or Feeder Permit ,. .,1e .e.eO.$)3.00 . ,.., ,'_.'., ~.,:'l/:'~otlf.catlon .' ~ .' ,....,:, '. :;-,~ ~r.' d' \'.;t,,->>~ -~ j" ,.l,,-.\: "'-"" _'" . E. . lVFs'c'ell~~et?us"(S,e:rv.iCe!fee~er: n,oN!icI~ded) -Each Installarion " ". -, .." "-' '.' ." ,~,," ,,' ...,. " ,.' , .' , " Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges . . ,..;' . .. .. ", .:"" - ~'.'.: 'f ' . $4. C::::::::h::eA130VE. ~': ~~~ :::mW~;"'. <,:,~:gg '\j} ~ Shmd D<iv,(T:YBuHding Fo"","Eloc"i,,\ Poeml, Appl',"ion \.06.do' Owners Signature: Inspection Request: 726-3769